Name* First Last Job Title* Preferred Personal PronounsCheck one or more options for the set(s) of pronouns you want people to use to refer to you. She/Her/Hers He/Him/His They/Them/Theirs Other If other, please enter: Email* Phone*Location* Melbourne Geelong Newcastle Brisbane Gold Coast Professional Social Media ProfilesPlease supply links to all relevant professional social media profiles that you wish to include in your bio (For example, LinkedIn, Facebook, Facebook Groups, Instagram). Separate each URL with a line break.Sub Auth Number (if app.) Please upload your high resolution headshot*Image/s should be under 6mb each Drop files here or Select files Accepted file types: jpg, png, Max. file size: 6 MB, Max. files: 2. A few dot points outlining your career. We will shape this into a short bio for you.*A list of any industry qualificationsA list of industry specific achievementsPlease upload your 8 personal bio images below*Images should be under 1mb each Drop files here or Select files Accepted file types: jpg, png, Max. file size: 8 MB, Max. files: 8. Please also provide a short caption for each bio image below*Separate each caption by a line break and label it with the relevant file nameCAPTCHAEmailThis field is for validation purposes and should be left unchanged.
