We are looking forward to hosting you on Lord Howe Island in 2019.

Please fill in the below information so we can better understand your views and motivations for coming to Lord Howe Island and participating in the LHI Conservation Volunteers program.

As well as collecting important information on your interests and experience, to ensure you have the best possible experience.

Please complete this short survey before you come to Lord Howe Island.

~5 minutes to complete.

If you agree, we will send you another short survey following your visit to Lord Howe Island.

Thank you for your time and interest and we look forward to seeing you soon.

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* 1. Name

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* 2. Email address

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* 3. I want to register my interest in:

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* 4. Fitness Level (Volunteer activities span a range of fitness levels. Some activities may be specific in their requirements (as outlined in the task description).)

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* 5. Relevant Skills/ Experience

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* 6. Volunteer experience

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* 7. What is the main reason for your current visit to LHI?

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* 8. When was your last visit to LHI?

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* 9. How many times have you visited Lord Howe Island before this trip?

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* 10. Which of these motivated you to visit LHI?

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* 11. Which of the following activities do you plan to participate in during your visit to LHI?

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* 12. Age

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* 13. Gender

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* 14. What type of travel party are you travelling with to LHI?

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* 15. In which State or Territory do you live?

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* 16. What is your household income?

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* 17. What is your employment status?

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* 18. What is the status of your household?

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* 19. Emergency Contact

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* 20. Medical Conditions
(For my own health and safety, the following pre-existing medical conditions, allergies or past injuries and special dietary needs are to note.)

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* 21. Have you booked your trip to Lord Howe yet? 
(If you have not yet booked but would like further information on packages please email visit@lordhoweisland.info)

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* 22. Dates you will be on Lord Howe Island?

Start Date
End Date

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* 24. Where did you hear about this opportunity?

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* 25. Do you have any other comments, questions, or concerns?

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