Tell Someone Network Application Form

children and young people feel safe to speak up
adults know how to identify warning signs, and listen, believe and respond to children and young people
communities support children and young people when they need it

Before you start: This form includes a declaration at the end. Only complete it if you are authorised to make commitments for your organisation.

Organisation details

Organisation name *

Other organisation type

Address

Street address

City

State

Postcode

Website (if applicable):

Contact person name *

Position/title

Email address *

Phone number

Why does your organisation want to join the Tell Someone Network? *

What actions will your organisation take over the next 12 months? *Please outline 1–3 actions.

How will these actions support adults to listen, believe and respond to children and young people? *

Any documents that support your commitment

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{{organisation name}} agrees to:

Share messages that are safe, appropriate and trauma-informed
Support all children and young people to feel safe and heard
Support adults to listen, believe and respond when children and young people speak up
Promote child safety in a respectful and responsible way
Align activities with your organisation’s child safety responsibilities

Do you agree to the above? *

YesNo

Do you agree to your organisation being publicly listed as part of the Tell Someone Network, including the use of your organisation’s logo? *

YesNo

Organisation's logo

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Would you like to receive updates and resources from Tell Someone? *

YesNo

I {{contact person name}} confirm that:

Position *

Signature *

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Date *

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