2024 LEADERSHIP, ORGANISING AND ACTION TRAINING
APPLICATION FORM
First Name
Last Name
Email
Phone
Your Role
Organisation Name
City / Suburb
Postcode
State
Please select...
NSW
VIC
ACT
NT
QLD
SA
TAS
WA
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Other
Pronouns
Do you identify as First Nations?
Yes - I am Aboriginal and/or Torres Strait Islander
Yes - I am a First Nations person from outside of Australia
No - I am not a First Nations person
Do you identify as:
Person with disability
Refugee or person seeking asylum
Person of colour
Unwaged activist