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* 1. Your name

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* 2. Your email address

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* 3. How would you describe your gender identity?

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* 4. What is your ethnicity? (Please select all that apply.)

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* 5. Do you consider yourself to have a disability?

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* 6. Tell us about your role and organisation, including the size of your team.

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* 7. Tell us how you've integrated campaigns internally.

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* 8. Our audience loves punchy and practical information. What tips and techniques do you have to share on integrating campaigns internally?

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* 9. What will you do differently next time?

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* 10. What goals did you achieve in integrating campaigns internally?

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* 11. Please include here anything else you'd like us to consider in the application process. 

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