THE HUNDRED PARTICIPANT REGISTRATION
Welcome to The Hundred with Andy Lee – we want YOU!  

Complete this form to be a part of our Hundred, zooming in from all around Australia! Help Andy tackle both the big and small questions as we discover what Australia is really thinking.  
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Email *
Full Name *
Mobile Number *
State / Territory *
City / Town *
Gender *
Sexuality
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Cultural Background *
Required
Date of Birth *
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Occupation *
Employment Type *
Relationship status *
Religion *
Describe your household... *
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How many children do you have? *
Highest level of education *
Have you appeared on The Hundred before? *
If yes, which season and/or episode?
Are you able to use Zoom? *
Have you ever had any criminal convictions? Or do you have any pending convictions? Please give details. *
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