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To provide transparent information to Survivor Advocates about a project or engagement opportunity, please complete this project brief.  The brief aims to inform survivor advocates and assist in their choice to participate in the project, with consideration to risks and benefits of the engagement.

The Best Practice Engagement with Survivor Advocates Guide has been developed to assist you to plan, deliver and reflect on your engagement with survivor advocates.  Please read the Guide before submitting this form.

Contact Details

Project Details:

Outline the initiative, including the purpose and intended impact of the project
Do you have a project plan? Or Terms of Reference?
If yes, please submit these documents with your completed request form
Max. file size: 128 MB.
Max. file size: 128 MB.

Note: for advisory positions and working groups, it is best practice to appoint at least two survivor advocates

Length of engagement

New or existing position
List all venues and/or online platforms. When will meetings/activity/event occur? Where? Approximately how many hours/months?

i.e., background, service experience, form of family violence, skills and/or advocacy interest area
Level of participation, and influence sought from Survivor Advocate
(Refer to attached Continuum of Lived Experience Guide for more information)
i.e.., possible risk to legal, physical, emotional, or cultural safety
i.e.., building accessibility, provision of interpreters or closed caption, taking breaks, provision of interview questions in advance
i.e.., trauma informed pre-briefing and & debriefing support

Records Management and Communication

Can privacy and confidentiality of the Survivor Advocate be protected?
i.e.., use of first name only, use of pseudonym, not using name or images in promotional materials, not disclosing location details
Will information be recorded and shared?
We are committed to protecting all personal and health information in accordance with the Privacy Act 1988 (Cth), Privacy & Data Protection Act 2014 (Vic) and Australian Privacy Principles and any other relevant privacy legislation.(Required)
We are committed to protecting all personal and health information in accordance with the Privacy Act 1988 (Cth), Privacy & Data Protection Act 2014 (Vic) and Australian Privacy Principles and any other relevant privacy legislation.
For Print Media(Required)
We commit to ensuring all quotes and how they will be used will be provided to the Survivor Advocate for review prior to print, unless otherwise negotiated before the interview
What will happen to personal information?
How will results of the project will be communicated to the Survivor Advocate

Budget and Remuneration

Is there a budget to cover costs of participation including reimbursements or out of pocket expenses?
Remuneration details
Select all available options for negotiation
Remuneration options
Select all available options for negotiation

If you have any questions, please contact the Survivor Advocate Coordinator via advocacy@safesteps.org.au or call 0418 565 898 or alternatively, (03) 9928 9600.