KORIN GAMADJI INSTITUTE
Program Signup
ABOUT THIS FORM
This form is for anyone who is interested in learning more about the work of the KGI.
Once complete, someone from the KGI team will be in-touch.
About You
*
Please select
I am an Aboriginal or Torres Strait Islander young person (13-25)
I am a parent or guardian of an Aboriginal or Torres Strait Islander young person
I work with Aboriginal or Torres Strait Islander young people (school, community, sporting group)
YOUR DETAILS
First Name
*
Surname
*
Address
*
City
*
State
*
Please select
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
Postcode
*
Mobile
*
Email
*
ABOUT YOU
First Name
*
Surname
*
Address Is Same As Above
Address
*
City
*
State
*
Please select
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
Postcode
*
Mobile
*
Email
*
DOB
*
Gender
*
Please select
Male
Female
Gender Fluid
Prefer not to say
School/TAFE/University
*
Current Level
*
Have
attended a KGI program before?
*
Please select
Yes
No
CONTACT DETAILS
First Name
*
Surname
*
Organisation
*
Address
*
City
*
State
*
Please select
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
Postcode
*
Mobile
*
Email
*
*
REAL Program (13-17) Leadership workshops, camps and sport
REAL Network (18+) Professional experiences, networking
REAL Healthy (13-25) Health and wellbeing workshops, gym membership
REAL Online (Schools) Introduction to the KGI and cultural awareness
(please select all that apply)
Submit Form
