APPLICATION TO ATTEND

Please answer the following questions in order to assist the PSA register your application for the PSA Aboriginal Conference 2022 on 18 November 2022.

The PSA will endeavour to provide an acknowledgement receipt of your application by email within 3 working days. The conference will be held at PSA House 160 Clarence St, Sydney.

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* 1. What is your First name?

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* 2. What is your Last name?

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* 3. Home Details

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* 4. Do you identify as

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* 5. I am a

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* 6. Work Details
Your work details are required so that the letter requesting your special leave is forwarded directly to your supervisor.

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* 7. Your Employer's/ Supervisor's details
The letter will be addressed for the attention of

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* 8. If you need to fly to attend the conference the PSA will book flights. Please indicate if you will need to fly.

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* 9. Do you have any dietary requirements?

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