About your request
This may include personal safety, health concerns, or urgent needs. Your response is confidential and helps us provide the right support for you. NOTE: If you are in immediate danger, please call emergency number (000).
About you
About the person you are referring
This is the name on your ID
This is the surname on your ID
What name would you like us to use? You can leave this blank
Pronouns are words like she, he, or they. We use them when we talk about you.
Contact Details
Contact details for the person you are referring
Mobile or home number to call you
We’ll try to follow your preference, but contact times depend on availability.
Language & support
The language you speak most
Do we need an interpreter? An interpreter is free
Do you have any accessibility or support needs we should be aware of?
Where you live
Where does the person you are referring live?
About your background
Background of the person you are referring
Which country were you born in?
Are you [is the person] of Aboriginal or Torres Strait Islander origin?
Approximate date is OK
Referral details

Privacy Information Statement

Settlement Services International Limited (SSI) is committed to respecting and protecting the privacy and rights of individuals in relation to their personal information.

SSI Group will collect, keep and deal with your personal information in accordance with the requirements of the Service Navigation Support Service (Service), applicable legislation (including thePrivacy Act 1988and state legislation as may apply) and SSI Group’s Privacy Policy, accessible athttps://www.ssi.org.au/privacy/.

SSI’s Privacy Policy sets out how you can access or correct your personal information or make a complaint about a breach of privacy. You may also seek further information or request a copy of the Privacy Policy from SSI Group’s Privacy Officer, at privacy@ssi.org.au. 

Why we need to collect your personal information

The Service collects personal and sensitive information for the purpose of contacting you about the Service, assessing eligibility to access the Service and delivering the Service. We will not disclose your personal information to any other service provider without first seeking consent from you.

Types of personal information we may collect

The types of personal information we will collect about you may include:

  • your name and contact details  

  • your cultural and language background, and

  • your health information. 

We will use this information to:

  • contact you about your Expression of Interest

  • assess eligibility for the Service

  • provide services to you

  • assess and improve our service delivery, and  

  • evaluate program outcomes and to report on these to funding bodies.

When we might give your information to others

For the above purposes, your information may be given to the funder of the Services.

What if you don’t want to give us the requested information, or if you change your mind

We need to collect this personal and sensitive information for the purpose of contacting you about the Service, assessing eligibility to access the Service and delivering the Service. You do not have to provide consent and your decision not to provide consent will in no way affect the Services we provide to you. However, if you do not provide sufficient information in the Expression of Interest, it may mean we are unable to assess eligibility for the Service.

You are free to change or withdraw your consent at any time by following the procedure in the Privacy Policy. Talk to your contact at SSI, who will support you to change or withdraw your consent.


reCAPTCHA