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 * — Select — Mr Mrs Miss Dr Other Please indicate which Learning Group you would like to apply for: * — Select — Learning Group A Learning Group B 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 — Select — Male Female Other Rather not say 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) — Select — $2,265.00 - GRA Associates & Members $2,665.00 - Non-Members Standard fee (after 31 July 2022) — Select — $2,775.00 - GRA Associates & Members $3,115.00 - Non-Members 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. GROUP RELATIONS AUSTRALIA INC PO Box 2005,Brunswick East, VIC 3057 Explore Follow Us FollowFollow
