Skip to content
Sam Rae
Labor candidate for Hawke
Home
About
About Hawke
Media
Get involved
Community Survey
Youth Advisory
Get in touch
Request a Flag
Facebook page opens in new window
Twitter page opens in new window
Search:
Search
Home
About
About Hawke
Media
Get involved
Community Survey
Youth Advisory
Get in touch
Request a Flag
Community Survey
I want to hear from you about the issues that are important to our local community.
"
*
" indicates required fields
First Name
*
Last Name
*
Email
*
Phone
*
Please rank your top 3 issues in order of importance to you below (with 1 being the most important).
Issue 1
*
Jobs
Roads & Infrastructure
Environment
Economy
Health
Education
Other: please specify
Issue 2
*
Jobs
Roads & Infrastructure
Environment
Economy
Health
Education
Other: please specify
Issue 3
*
Jobs
Roads & Infrastructure
Environment
Economy
Health
Education
Other: please specify
Issue 1 Other, please specify
*
Issue 2 Other, please specify
*
Issue 3 Other, please specify
*
Address
*
Street Address
Suburb
State
Postcode
What else is on your mind?
Comments
This field is for validation purposes and should be left unchanged.
Go to Top