Application for The StruXi Project
Thank you for taking the time to complete an application for the StruXi Project. We may have some further questions so please make sure you have provided the correct contact details. We will be in touch shortly.
Applicant Contact Details
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Organisation Details
Organisation Name
*
How long have you been in operation for?
*
Start Up
1 - 5 Years
5 - 10 Years
10+ Years
Briefly tell us about your organisation.
*
Limit to 1-2 sentences.
What region do you represent?
*
What group of people are included in your organisation?
*
Project Details
Project Address
*
Tell us why you need our assistance?
*
Describe what assistance you are looking for.
*
Add some specifics about the items you have described above.
*
Tell us why you deserve our assistance with your project?
*
What is the timeframe/deadline for this project?
*
Please note, if deadlines do not fit within our delivery program this will have an impact on your application.
Outcome Goals
What are you hoping to get out of this project?
*
What does success look like for this project?
*
What work have you previously done for this project?
*
Other
Why would you specifically like to work with StruXi?
*
How did you hear about us?
*
Please upload any relevant files
Browse Files
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Choose a file
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Thank you for taking the time to fill out this application. Please click the SUMBIT button to lodge your application.
Have any questions? Feel free to email us at struxi@struxi.com.au
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