"We're Listening" Open Mic Audience Registration Form
Thank you for being here. We are the Melbourne Social Inclusion Club. We are like minded individuals passionate about dealing with the issue of social inclusion. As a closing event for this semester, we are hosting an Open Mic on 13 October 2023 from 5-7pm at Activity Room G01, Building 189 (Market Hall). This event seeks to provide a forum for people from The University of Melbourne to express their experiences and aspirations regarding matters related to inclusivity. 

You are invited to be part of the audience. Hope you can join us.

Thank you very much!
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Name *
[First Name, Last Name]
Preferred Name
University Email Address *
Course you are Pursuing *
When are you expected to graduate? *
Student ID Number *
Sex at Birth
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Gender
Race/Ethnicity
Do you identify as a Person with Disability? *
Are you an Indigenous Australian? *
Are you an International Student? *
Country of Origin *
Are you a member of the Melbourne Social Inclusion Club? *
Do you want to receive information about future activities of the Melbourne Social Inclusion Club? *
We would like to inform you that we will be taking photos and videos during the event. Your submission indicates that you are willing and consent to being documented. 
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