Online Form - Vincent Youth Network Application Form

The Vincent Youth Network is a group of young people who meet regularly to discuss issues, ideas and provide feedback on decisions that are important to Vincent’s young people.

Membership is now open to people aged 12-20, who live, work, or study within the City of Vincent.

Our VYN:

  • Empowers young people to voice their needs and concerns.
  • Enables young people to have input on decisions that impact them.
  • Provides opportunities for young people to develop leadership and teamwork skills.
  • Drives the connection of passionate youth through social events and meetings.

Fill in this application form and be considered for the VYN today.

If you have any questions or queries at all, please email community.partnerships@vincent.wa.gov.au or call 9273 6043.

If you are unable to complete this form online, please contact 9273 6043 for alternative formats.

Step 1 - Personal Details

Do you identify as any of the following (optional):





Please select your preferred communication channels: *








Step 2 - Parent/Guardian Details (Under 18 Only)


Step 3 - Final Information and Consent

I will,

ACT in a way that shows respect for the program/service, others and myself;

BELONG to a program/service that values me, my property and my personal safety;

COMMIT to being accountable for my actions.

If my actions break this agreement, staff will respond by:

  1. Reminding me of the expected standards of behaviour
  2. Providing me with opportunities to modify my behaviour
  3. Request that I take time out from the events/activities
  4. If I am still unwilling to change my behaviours, request that I leave the program/service immediately for a chosen period of time
Has the participant read and understood the Consent and Behaviour Participation Agreement above? *