Digital Photography Community Project
Supported by a City of Adelaide Community Impact Grant
Name
*
First Name
Last Name
Phone number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you between 18 and 35 years of age?
Yes
No
Can you attend 5 workshops once a month (Jan to May)?
Yes
No
Can you participate in a group exhibition in June?
Yes
No
Do you have a smart phone with a digital camera?
Yes
No
Which of the following do you identify as?
I come from a culturally and linguistically diverse (CALD) background
I identify as part of the LGBTIQA+ community
I am an international student
I am a humanitarian visa holder
I identify as an Aboriginal or Torres Straight Islander
What language/s do you speak?
Do you have any support needs or accessibility requirements? Please describe.
Do you have any dietary requirements?
How did you hear about this project
Email
Social Media
SAMESH website
Word of mouth
Flyer or brochure
Can you tell us a bit about yourself? Please include 3 fun facts.
Submit
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