First Name
Last Name
Preferred Pronouns
Date of birth
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Email Address
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Phone number
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Do you identify as Aboriginal and/or Torres Strait Islander?
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Yes
No
Do you speak a language other than English at home?
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No
Yes
What language(s) other than English do you speak at home?
Do you live, study, work or have a strong community connection to Puffing Billy Railway?
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Yes
No
Please give details of your connection to Puffing Billy Railway (i.e. live in the local area, school you attend, place of employment).
Are you involved in taking “action” in your local community. Tell us about your experiences.
Why do you want to be a member of the Puffing Billy Railway Youth Reference Group?
What leadership qualities and skills will you bring to the Puffing Billy Railway Youth Reference Group?
Have you read the Puffing Billy Railway Youth Reference Group (PBR YRG) Terms of Reference?
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Yes
No
Terms of Reference can be found here: https://puffingbilly.com.au/wp-content/uploads/Terms-of-Reference-Puffing-Billy-Railway-Youth-Reference-Group-PBR-YRG-1.pdf
How did you find out about the Puffing Billy Railway Youth Reference Group?
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