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Expression Of Interest Registration: NISTEMPN Face-to-Face Gathering 6-9 Nov, 2022 
Please register your interest, and provide your details, to attend our inaugural Face to Face National Indigenous STEM Professional Network (NISTEMPN) gathering on 6-9 November, 2022 at The University of Technology Sydney (UTS).
Complete this form by—15 October, 2022
For more information go to: www.nistempn.org
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Email *
Firstname *
Surname *
Who's your mob, where you from *
Organisation Affiliation *
STEM Field *
STEM Role *
Required
Do you need financial assistance? Please seek assistance from your organisation to sponsor you. If not, we will do our best to fund your participation, but not guaranteed. If you do need financial assistance, please choose what options you need. Some meals will be included. *

What would you like to achieve from this gathering?

Would you like to self nominate to facilitate a workshop?
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Do you have Message stick ideas?
Can you provide assistance?
Do you provide permission for our photographer to take your photo? *
Do you have accessibility requirements?
Do you have dietary requirements?
A copy of your responses will be emailed to the address you provided.
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