Thank you for your interest. We love hearing from future change-makers!

The nature of this project is gendered and racial online harassment so please go easy and gently with your answers. If you find any of these questions triggering and would prefer to provide an answer in an alternative format please contact kimg@mcwh.com.au.

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* 1. What's your name?

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* 2. What's your age?

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* 3. What suburb or postcode are you in? (No need to post your full address)

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* 4. What is your email address?

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* 5. Contact phone number (optional)

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* 6. Were you born overseas or do you have one or more overseas-born parent?

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* 7. Do you identify as Aboriginal and/or Torres Strait Islander?

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* 8. What is your cultural and ethnic background(s)?

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* 9. What is your country of birth?

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* 10. How would you describe your gender identity

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* 11. Tell us briefly (approx 100 words) why you would like to participate in the Leaders of the Future workshops? For example do you have lived experience of gendered or racial online harassment? You only have to share the details you are comfortable with here.

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* 12. Can you commit to both workshops on 12th and 14th April from 2.00pm - 4.30pm?

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* 13. We want to design these workshops to work for you. Do you have any learning support needs that you'd like to make us aware of?

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* 14. Thank you for taking the time to express an interest in this project. We will contact you via email later this month to let you know whether a place is available for you, and give you an update about the content and logistics of the two workshop sessions. If you have any questions you'd like to ask please feel free to ask them here:

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