1. Personal information

Please provide your personal details to help us understand the diversity and backgrounds of our applicants. This information will be kept confidential and used for demographic purposes only.

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* 1. Full name

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* 2. Date of birth

Date

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* 3. Pronouns

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* 4. Ethnicity

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* 5. Are you a citizen or permanent resident of Aotearoa New Zealand?

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* 6. Email

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* 7. Phone number

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* 8. Address

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33% of survey complete.

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