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Mātaki (Māori Biosecurity Network) Registration Form
The information collected as part of this form will not be shared with anyone and will only be used to organise training, respond to events, and/or to connect communities.
*
1.
Contact & Demographic Information
(Required.)
Full Name
*
Organisation (if applicable)
Age
*
City or town you live in
*
Region of Aotearoa
*
Email Address
*
Phone Number
*
*
2.
Which ethnicity do you self-identify with (e.g., Māori, Pākehā)?
(Required.)
3.
Which iwi / hapū do you belong to (if applicable)?
4.
I have experience in the following (check all that apply):
Hunting
Pest animal control
Weed identification and control
Marine biosecurity
Freshwater restoration / security
Field surveillance and monitoring
Responding to biosecurity events
Researching biosecurity/biodiversity
Biosecurity and/or biodiversity policy work
Seed banking (collecting, propagating, storing)
Nursery management
Other (please specify):
None of the above
5.
What do you want to get out of Mātaki (the Māori Biosecurity Network)? Write them below.
6.
Do you have a biosecurity or biodiversity project that you would like TTW to profile and share with our community? If so, briefly describe it below (we will be in contact to get more details later).
7.
I would like to be connected with
other
biosecurity or biodiversity projects across Aotearoa.
Yes
No
N/A
8.
I am seeking help or others to be connected to
my/our
biosecurity or biodiversity project.
Yes
No
N/A
*
9.
Are you willing to respond to biosecurity events in the future? If so, where?
(Required.)
Yes, anywhere in Aotearoa
Yes, but only in my region
Yes, but only in my city or town
No
*
10.
I agree to be contacted about my skills and ability to respond to biosecurity events (if necessary)
(Required.)
Yes
No
11.
Would you like to be added to the Te Tira Whakamātaki Newsletter list?
Yes
No
I am already on that mailing list.
12.
Is there anything else you'd like us to know about you that is relevant to your involvement in Mātaki? If so, write it below.
Tēnā rawa atu koe! Click '
done
' to submit your registration. We will be in contact soon.