Your name
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First Name
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Organisation/School/Community Group
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Position/Role
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E-mail
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e.g. 0400 111 111
Format: 0000 000 000.
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Postcode
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State
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How did you hear about the R U OK? Conversation Convoy?
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Local Media (TV/Newspaper/Radio)
Social Media
Saw the convoy in my town
Word of mouth
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Are you interested in a full activation or a workshop?
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Please Select
Full activation
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How could you help stage a successful event? (think about location, attendance, contacts within the community)
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Are there any existing events in your area (such as festivals or shows) that might be relevant for R U OK? to attend? If so please provide the name, date and details of the event.
*
Are there any specific community needs we should consider in our planning e.g., Aboriginal and Torres Strait Islander peoples, community members who speak a language other than English, etc.
Why do you think it is important for the R U OK? Conversation Convoy to visit your community?
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