Dual Identity Leadership Program - 2019 Recruitment Application
This application form consists of a series of multiple choice style questions and one short answer question. Please answer the following questions to the best of your ability. Recommended time frame for completion ~10 minutes
What is your full name?
Please state your preferred name if it is different from the above
What gender do you identify as?
Prefer not to say
What is your date of birth?
Please provide your best contact number
Please provide an email address you check regularly
What is your citizenship status in Australia?
Please specify your highest level of education
High school - Year 12
Tertiary level - University
Tertiary level - TAFE
What is your current occupation? (eg. Full-time Master of Engineering student, Full-time Data Analyst)
Do you require any support throughout the program? For example, accessibility support (e.g. content warnings, extra breaks) and ability support (e.g. large print, wheelchair access). This information is confidential and only shared with the committee members and facilitators.
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