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* 1. Full Name

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* 3. Phone Number

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* 4. Organisation / School (if applicable)

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* 5. Role / Title (if applicable)

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* 6. What town/suburb do you live in?

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* 7. What state/territory are you travelling from?

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* 8. How would you describe your location?

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* 9. Approximate distance to the conference (km)

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* 10. What mode(s) of transport will you use? Select all that apply.

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* 11. Estimated total travel cost (AUD)

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* 12. Please describe why you require financial support to attend

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* 13. Can your organisation contribute?

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* 14. If yes, how much can they contribute? (AUD)

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* 15. Why do you want to attend this conference?

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* 16. How will attending benefit your community or region?

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* 17. How do you plan to share what you learn? Select all that apply.

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* 18. Are you willing to actively participate and provide a short reflection after the event?

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* 19. Do you identify with any of the following? Select all that apply.

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* 20. Anything else you’d like us to consider?

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