First name

Last name

Phone

State

status

studentrecent graduate

University

course title

Eg: Bachelor of Engineering

course completion year

Please state the year you graduated or the year you expect to graduate

WHY DO YOU WANT TO ATTEND A CLEAN ENERGY COUNCIL CONFERENCE?

Please also state which conference you wish to attend. Answers should not be longer than 250 words.

I CONFIRM THAT I AM NOT CURRENTLY EMPLOYED IN THE CLEAN ENERGY INDUSTRY

Yes, I confirm

I AM INTERESTED IN ATTENDING THE FOLLOWING CONFERENCES (PLEASE TICK ALL THAT APPLY)

WA Clean Energy Summit on 24 March in Perth

Australian Wind Industry Forum on 26 May in MelbourneAustralian Clean Energy Summit on 28–29 July in SydneyQueensland Clean Energy Summit on 9 September in Brisbane

I CONFIRM THAT I IDENTIFY AS A WOMAN

Yes, I confirm

I UNDERSTAND THAT I AM LIABLE FOR ANY TRAVEL EXPENSES TO AND FROM THIS EVENT

Yes, I understand

VOLUNTEER OPTION

If you are unsuccessful in your application for a ticket, would you like to be considered for a volunteer position for the event (which will include free registration and the chance to attend at least one session of your choice)?

Yes, I would

DOCUMENT UPLOAD

Students: please upload a copy of your student card or other proof of enrolment. Recent graduates: please upload a copy of your CV. Please label all files as your full name.

PHOTO UPLOAD

Please upload a recent headshot (eg LinkedIn profile photo). Please label the file with your full name.