SSDP Focus Group #5 Application Form: For Australians of any age who are interested in SSDP's mission to "represent and empower young people to bring change to drug policy”.

Full Name

City/Town

State/Territory

ZIP/Postal Code

Email Address

Phone Number

Under 18

18-24

25-30

31-36

37-49

50+

Yes. (We'll contact you later in the year with a range of potential session dates for you to apply to participate in).

No.

Other (please specify)