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* 1. Applicant Details:

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* 2. Organisational Details:

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* 3. Professional Bio - please give a short description of your professional role and interests:

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* 4. Outline your personal experience and connection with event topics:

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* 5. How will you incorporate your learning from this event into your current and future work?

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* 6. What do you hope to gain from attending this event?

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* 7. Do you currently have an innovation idea in which you want to develop further?

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