APPLICATION FORM

Applications open for 2009 L&S
The next conference will be held on the 1 - 3 May 2009. Applications for the May conference are now open.

Please complete as many sections as possible to ensure a speedy application process. Transcripts and additional information can be:

> faxed to Liberty & Society at (Australia +61) (2) 9439 7310
> emailed to jlindsay@cis.org.au or
> posted to:
Liberty & Society
PO Box 92, St Leonards, NSW 1590
Australia

PLEASE NOTE: This online form is currently not working. We ask that you copy this page by selecting all and paste into a Word document or directly into an email message such as Outlook. Then fill in your details and send to us. Apologies for the inconvenience!

SECTION 1

I would like to apply for the next conference.

SECTION 2

Mr Ms
First Name
Surname

Current Address
Suburb Postcode

Phone
E-mail

Date of Birth

Permanent Address (parents/family)
Suburb
Postcode Country

University/employment
Major
Degree: Bachelor Masters PhD Other
Graduation Date

Please keep me on file if my application is not successful this time

SECTION 3

Academic Transcript
The Centre requires a copy of your recent academic record (Photocopies are acceptable). Please check the box to acknowledge that you will be sending the transcript.This can be emailed or faxed to Jenny Lindsay at the contact details above.

Sample of Your Writing (optional)
We are interested in seeing copies of articles or essays you have written on subjects related to Liberty & Society. Please check the box if you will be sending a writing sample. Samples can be emailed or faxed to Jenny Lindsay at the contact details above.

Current CV or list of activities and achievements
Please list any activities such as involvement with political or community organisations, which you think would assist your application. Also tell us about any awards you have received.

Career Intentions
In no more than 75 words outline the career options you are considering on completion of your degree. If you are a graduate and are currently employed, please outline your current employment activities and your career aspirations.

Interest
Very briefly describe why you would like to come to the Liberty and Society conference

Travel Allowance
Please indicate if you require assistance to fund your travel.

For more information
Please contact Jenny Lindsay at jlindsay@cis.org.au

PLEASE NOTE: This online form is currently not working. We ask that you copy this page by selecting all and paste into a Word document or directly into an email message such as Outlook. Then fill in your details and send to us. Apologies for the inconvenience!

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