test 2 Register Name* First Last Organisation/Action GroupStateEmail* Phone Number2. Which role best describes your current involvement in organising? I am in a paid role as a community, issue or workplace organiser I am a volunteer organiser working to build power in the community I am a convenor or leader of an action group I am an active member of an action group None of the above but still keen to attend If 'none of the above' please let us know your involvement in social change. Keep it brief!3. What experience have you had in organising? I have experience in having one to one conversations I have experience in managing volunteers and developing their leadership skills I have built an action group I have led an organising campaign I have trained others or mentored them on a one-to-one basis I haven't done these things but I might in the future! If you have trained others what kinds of topics have you covered?4. Have you attended other training about organising?YesNoplease let us know what training you've attended, and the topics covered.5. What would you like to get out of the course? What would be most useful for your work or activism?7. Food Please let us know your food needs (tick as many as apply). Vegetarian Vegan Dairy free Gluten free Please include meat options for me Other (please specify)9. Is there anything else you would like to add, or ask the trainers? Please include any accessibility issues we should be aware of.Fees*$250 for low income individuals/unfunded organisations$500 for average waged individuals/medium sized organisations$750 for well waged individuals/larger organisationsMoney is a barrier to me attending - please contact me to discuss optionsTestI'd like a Pay the Rent space (free attendance for Aboriginal and Torres Strait Islander participants) I'd like to donate to support attendance by low income activists (include amount in the box below) Total $ 0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name Newsletter Please add me to the newsletter
