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* 1. Please provide your full name

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* 2. Please provide your preferred email address

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* 3. Please provide your preferred mobile number

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* 4. Why are you interested in applying for the New Zealand Rural Policy Advocacy Group Representative role?

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* 5. What experience/skills/value can you bring to this role? Please provide some specific examples which relate to this role.

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* 6. What do you hope to achieve in this role?

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