Please complete the required information in the form below:
Applicant First Name
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Applicant Last Name
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Mobile Phone
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Email Address
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Town/City
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Country
Are you a citizen or have permanent resident status in NZ? (Y/N)
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Have you worked in and contributed to the NZ music industry? (Y/N)
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Have you worked for pay for at least 10 years in a music related role(s)? (Y/N)
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Have you worked for pay in a music-related role for the greater part of your adult working life? (Y/N)
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Please briefly detail your work history in music; include social media/website links if available:
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Please provide a short description of your recent illness/injury/significant misfortune and a brief outline of your financial circumstances:
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Are there any documents or files relating to your work in music or anything else you feel might be relevant that you would like to upload for us to see?