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CBG Research Online Application

Reach Aotearoa Online Application

1. We aim for a diverse range of workers so our project representatives closely match our communities. We collect the following information for the main reason of diversity monitoring. The information is subject to the Privacy Act 2020 and is kept confidential; Reach Aotearoa will group and share results with our sponsors at the aggregate level only.
(ie. Mr, Mrs, Miss, Ms, Mx, etc.)
Please record if you have another name you prefer to be known by. If successful this will be the name we use within our organisation.
(ie. Male, Female, Non-Binary, Prefer Not To Say, etc.)
(ie. she/her, they/them, he/him, etc.)
This question requires a valid date format of DD/MM/YYYY.
calendar
2. The ethnicity of individual interviewers will not be disclosed and never shared.

Which ethnic group, or groups do you belong to? *This question is required.
  • * This question is required.
  • * This question is required.
  • * This question is required.
3. Please tick all languages spoken fluently *This question is required.
  • * This question is required.
This question requires a valid email address.
This question requires a valid number format.
This question requires a valid number format.
7. Address *This question is required.
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