Group Relations Australia - Group Relations and Systems Psychodynamics

The history of now: creating meaning (in the present moment)

A group relations working confeence

28th November to 2nd December 2022

Melbourne Australia

APPLICATION FORM

When registering multiple participants from the same organisation, please complete a separate application form for each attendee.

Title *

Please indicate which Learning Group you would like to apply for: *

GROUP A: First Time Attendee at a Group Relations Conference GROUP B: Previously attended a Group Relations Conference

Name *

First

Last

Age

Email Address *

Gender

Nationality

Identities and Intersectionalities

Work Organisation

Work Role & Official Title

Please indicate any affiliations with group relations organisations

Full Member of Group Relations Australia Associate Member of Group Relations Australia

Are you a member of any related organisations? (e.g. AK Rice Institute, Group Relations India etc.)

How did you hear about this conference?

Please specify any special dietary requirements:

Please include any known allergies.

Please specify any special requirements relating to disability:

The venue has rooms on several levels. Most conference rooms are on the ground floor and there are some wheelchair accessible bedrooms.

Please say why you would like to attend the conference, and what you hope to get out of it. (max 100 words) *

Please state any prior experiences of experiential group relations conferences (if any), giving dates, titles and locations and whether these were residential or online. *

Max 200 words

Link to CV File

Please provide a file share link to your CV or email to conference@grouprelations.org.au

Please attach a recent digitial photo in portrait style (Max 3MB. Preferably .jpeg file) *

Select Image

Cancellation:

Before 4 September: 100% refund, less administration fee of $100 Before 2 October: 50% refund After 2 October: No refund

Earlybird fee (paid in full before 31 July 2022)

Standard fee (after 31 July 2022)

Discounts

$400 each for two or more employees from the same organisation

Please provide the organisation name and list those attending with you:

Agreement to participate

I have read the brochure for this conference in detail and apply to participate. I understand that this application constitutes the contract between Group Relations Australia and myself and that my application authorizes the organisation to conduct the conference in the manner described.

Terms and Conditions

By submitting this application it confirms that you have read and agree to the conference terms and conditions.

The history of now: creating meaning (in the present moment)

28th November to 2nd December 2022

APPLICATION FORM

Cancellation:

Agreement to participate

Terms and Conditions

GROUP RELATIONS AUSTRALIA INC

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