UNE Young Farming Champions Program Expression of Interest
Email address *
What is your first name? *
Your answer
What is your surname? *
Your answer
What is your street address? *
Your answer
What is the name of the town you live in *
Your answer
What state do you live in *
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What is your postcode *
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What is your email address *
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What is your date of birth?
MM
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DD
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YYYY
What is your mobile phone number? Please write in this format with an apostrophe before the first x to ensure the leading zero appears in the spreadsheet 'xxxx yyy zzz with a space between each set of numbers Eg '0407 740 446 *
Your answer
Do you live at college at UNE?
If you answered Yes to living in college please add the name of the college
Your answer
If you work as well as study what are your roles outside the university?
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What are you studying at university?
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What year of university are you undertaking?
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How did you hear about the YFC program?
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Please list the social media sites you have a presence on and the handles you use eg Twitter @faotc
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Please list the farming industry you would like to represent *
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Please list two referees (Please include a referee from either your college or an academic referee) and their contact numbers. *
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