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* 1. Please provide contact details

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* 3. Do you work in a full time capacity in the North East Wine Zone?   

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* 4. What is your role?

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* 5. If you work for an employer, please provide their contact details and the name of who is supporting you from the organisation to attend the course.

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* 6. In three paragraphs or less, please describe why you want to attend the course and how you expect that it will help you further your career and contribute towards the North East Wine Zone more broadly.

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* 7. Are you able to meet all of the Terms and Conditions of this scholarship?

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* 8. I confirm I meet all criteria

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