Application Form *Full Name0/50*EMail*Phone Number*StateNSW QLD ACT VIC TAS WA NT SA What state are you currently living in*University/Workplace/InstitutionDegree/Job Title*LinkedIn Profile*Reference 1 Name*Reference 1 Email*Reference 2 Name*Reference 2 Email*What is your vision for this role and what would you like to achieve in 2021?max 250 wordsWhat previous experience do you have that would prepare you for this role?max 250 wordsHow many hours a week are you able to dedicate to this position?Describe yourself in 3 words:Declare any conflicts of interest (see page 10 in the 2021 AYAA Information Package):Are you currently a member of an AYAA events, competition or program organising committee (AURC, AYAF, AF, ASTRA)? Yes No Fields with (*) are compulsory.