COMMUNITY DOOR
Young people on boards in your community

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* 1. First Name

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* 2. Surname

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* 3. Email

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* 4. Phone Number

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* 5. Address

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* 6. Suburb

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* 7. Postcode

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* 8. Course/Studies currently undertaken

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* 9. Current Grade Point Average

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* 10. The board has asked you to nominate a community project that needs $10,000 support.  Write a recommendation for the board (max. 150 characters).

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* 11. Would you like to hear from us about banking options?

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* 12. If you answered yes to question 11. Please indicate which services you would like to receive information

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