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* 1. I wish to join the Outdoors NSW & ACT Mentoring Program as a;

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* 2. I will be able to dedicate 1 hour per week (on average) to this program over 6 months

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* 3. What are you hoping to gain from this program?

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* 4. By completing the below you agree to receive communications from Outdoors NSW & ACT

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* 5. Are you a member (or is your organisation a member) of Outdoors NSW & ACT?

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