Expression of Interest - Hosting a Workshop or Event
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Would like to hold a
*
Please Select
Workshop
Event
Social Media (If Applicable)
Do you Identify from a community within our 10 Local Aboriginal Land Councils
*
No
Karuah
Biripi
Bowraville
Kempsey
Coffs Harbour
Purfleet Taree
Thungutti
Forster
Unkya
Other
Title of the Workshop or Event
*
A little information about the Workshop or Event
Images or other information you would like to provide
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Date of the Workshop or Event
Submit
Should be Empty: