Submission Confirmation

By submitting this form, I confirm that:

• The information provided in this form is true, accurate, and complete to the best of my knowledge.
• I understand that the Change Creators Program is specifically designed to support young men (15–21) who have had contact with the justice system or are experiencing disconnection, through mindset development, mentoring, and community-based learning.
• I agree to participate in the program’s activities as outlined, including workshops, mentoring, and project work.
• I understand that my participation in the Change Creators Program will involve data collection for monitoring and evaluation purposes, and my information will be handled in accordance with privacy policies.
• I agree that BREED Australia can share the information in this document with program partners for evaluation purposes, excluding any personally identifying details.