Junior Rural Ambassador
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Think you've got what it takes to be the Junior Rural Ambassador?. Fill out the Form to Nominate for this year
Entrant Information
Full Name
Address
Address 2
State
Select
Victoria
New South wales
South Australia
Western Australia
Northern Territory
Queensland
Tasmania
City
Postcode
Date of Birth
Secondary Phone
Primary Phone
Email Address
School
Short Resume - File types allowed :- Jpg, Pdf, Doc, Docx
Parent/Guardian
First Name
Last Name
Secondary Phone
Primary Phone