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* 1. What is your name (as you would like to be addressed)

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* 2. What is your cultural affiliation / identity? (if you wish to share)

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* 3. What is your organisation / institution?

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* 4. Are you an RACP member (if yes, please specify Faculty / Chapter / Division)

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* 5. Which position are you applying for?

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* 6. What is your address?

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* 7. What phone number can we contact you on?

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* 8. At what email address would you like to be contacted?

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* 9. We’d love to hear about your background, interests, and what you would bring to the Advisory Group.

You may wish to include:
Relevant experience in Indigenous health, education, pedagogy, or Indigenous knowledge systems
Community roles or lived experience you would like to share
Why you are interested in contributing to the Advisory Group

Response options:
Long answer text field (open response)
File upload (optional) – Upload a short statement (PDF or Word, max 10MB) if you prefer

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* 10. Optional: Please upload your statement to support your application (PDF or Word document)

PDF, DOC, DOCX file types only.
Choose File

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* 11. Please upload your Curriculum Vitae (CV) to support your application.

PDF, DOC, DOCX file types only.
Choose File

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