MEDIA REPRESENTATIVES: The NEMBC is looking to engage, train and develop multicultural radio reporting, for our sector, by assisting members to develop their skills and to broaden their radio program audiences.

Expression of Interest

The NEMBC will contact you after the form is filled in to gauge your main interest, such as; sport, politics, fashion, environment, arts, media accreditation or a media project of idea you have. More information is available on www.nembc.org.au

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* 1. Please provide your name and contact details.

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Station, Frequency and Languages

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* 3. About you (Please tick all applicable answers)

Age
15-30

31-45

46-60

61+

State
ACT

NSW

QLD

TAS

VIC

Station
metropolitan station

regional/rural station

full-time ethnic station

Role
NEMBC Member

non-member broadcaster

speaker/presenter

sponsor

sector representative

Other (please specify)

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* 4. What is your radio broadcasting or media experience, write with as much detail as possible and include how long you been on-air or making media.
What were your roles and involvement?

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* 5. What is your present work situation?

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* 6. What are your interests: sport, fashion, arts, politics or something else?

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* 7. Have you recently completed post secondary education or are you still studying ? Please also include details of institution, time completed or expected completion and course title.

Yes. Please specify when:

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* 1. Please provide your name and contact details.

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* 2. Station, Frequency and Languages

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* 3. About you (Please tick all applicable answers)

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* 4. What is your radio broadcasting or media experience, write with as much detail as possible and include how long you been on-air or making media. What were your roles and involvement?

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* 5. What is your present work situation?

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* 6. What are your interests: sport, fashion, arts, politics or something else?

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* 7. Have you recently completed post secondary education or are you still studying ? Please also include details of institution, time completed or expected completion and course title.

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* 8. If you have any additional comments add them to the box below.

* 4. What is your radio broadcasting or media experience, write with as much detail as possible and include how long you been on-air or making media.
What were your roles and involvement?