2024 Longreach Mission
First Name
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Last Name
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Preferred Name
Gender
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Male
Female
Email Address
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Mobile Number
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Course
International Student
yes
no
Transport: Please indicate how you plan to get to Longreach
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I need a lift
I plan to drive and can offer lifts to others
I can drive if needed
other
How many spots do you have available in your car?
Travelling from:
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Townsville
Other
Special Dietary and/or Medical Requirements(type n/a if none)
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Are you? (please select one)
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JCU Townsville Student
JCU Cairns Student
CQU Townsville Student
CQU Cairns Student
Student at other institution
Not a student
Do you have a blue card (QLD working with children check)
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yes
I've applied and waiting for processing
No
Comments: Let us know if you have any questions or if there is anything else helpful for us to know...
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