Your Details First Name Last Name Gender WomanManNon-binarySistergirlBrotherboyI use a different termPrefer Not to SayIntersex Birth Date Street Address City Postal Code State/Province - None - Phone Number Email Comments / Queries? General Demographics Aboriginal Yes Torres Strait Islander Yes Ethnic and Cultural Identity AustralianAustralian AboriginalAustralian South Sea IslanderTorres Strait IslanderNorfolk IslanderAcehneseAcholiAfghanAfrican AmericanAfrikanerAkanAlbanianAlgerianAmericanAmharaAnglo-BurmeseAnglo-IndianAngolanArgentinianArmenianAssyrianAustrianAzeriBahrainiBalineseBangladeshiBarbadianBariBasqueBatswanaBelarusanBelgianBengaliBerberBermudanBhutaneseBolivianBosnianBrazilianBruneianBulgarianBurgherBurmeseBurundianCameroonianCanadian46CatalanChaldeanChannel IslanderChileanChinChineseColombianCongoleseCook IslanderCopticCosta RicanCroatianCubanCypriotCzechDanishDarfurDinkaDutchEcuadorianEgyptianEmiratiEnglishEritreanEstonianEthiopianFijianFijian IndianFilipinoFinnishFlemishFrenchFrench CanadianFrisianFulaniGeorgianGermanGhanaianGibraltarianGioGreekGuatemalanGujaratiGuyaneseHawaiianHazaraHispanic North AmericanHmongHungarianHutuIcelandicIgboI-KiribatiIndianIndian TamilIndonesianIranianIraqiIrishItalianIvoreanJamaicanJapaneseJavaneseJewishJordanianKadazanKarenKashmiriKazakhKenyanKhmer (Cambodian)KoreanKrahnKunamaKurdishKuwaitiKyrgyzLaoLatvianLebaneseLiberianLibyanLithuanianLuxembourgMacedonianMadiMadureseMalawianMalayMalayaliMaldivianMalteseMandaeanMandinkaManxMaoriMasaiMauritianMayanMexicanMoldovanMonMongolianMontenegrinMoroccanMozambicanNamibianNative North American IndianNauruanNepaleseNew CaledonianNew ZealanderNicaraguanNigerianNiueanNi-VanuatuNorwegianNubianNuerOgadenOmaniOromoPakistaniPalestinianPapua New GuineanParaguayanParsiPathanPeruvianPitcairnPolishPortuguesePuerto RicanPunjabiQatariRohingyaRoma GypsyRomanianRussianRwandanSalvadoranSamoanSaudi ArabianScottishSenegaleseSerbianSeychelloisShonaSierra LeoneanSikhSindhiSingaporeanSinhaleseSlovakSloveneSolomon IslanderSomaliSorb/WendSouth AfricanSouth SudaneseSpanishSri LankanSri Lankan TamilSudaneseSundaneseSwahiliSwazilanderSwedishSwissSyrianTahitianTaiwaneseTajikTamil, nfdTanzanianTatarTeluguTemoqThaiThemneTibetanTigrayanTigreTimoreseTogoleseTokelauanTonganTrinidadian TobagonianTunisianTurkishTurkmenTuvaluanUgandanUighurUkrainianUruguayanUzbekVenezuelanVietnameseVlachWelshYemeniYezidiYorubaZambianZimbabweanZulu Please specify your ethnicity? Identify as from LGBTIQ+ communities Culturally and Linguisticaly Diverse Background Citizenship and Immigration Australian CitizenPermanent ResidentTemporary VisaBridging VisaWorking VisaInternational Student VisaWork and Holidays VisaRefugee StatusOtherUnknownI prefer not to answer What is your country of birth? AustraliaAfghanistanAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBrazilBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina (excludes SARs and Taiwan)ColombiaComorosCongo, Democratic Republic ofCongo, Republic ofCook IslandsCosta RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEnglandEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGaza Strip and West BankGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic of (North)Korea, Republic of (South)KosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern IrelandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSamoaSamoa, AmericanSan MarinoSao Tome and PrincipeSaudi ArabiaScotlandSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSt BarthelemySt HelenaSt Kitts and NevisSt LuciaSt Martin (French part)St Pierre and MiquelonSt Vincent and the GrenadinesSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, United StatesWalesWallis and FutunaWestern SaharaYemenZambiaZimbabwe Language spoken at home EnglishAustralian Aboriginal or Torres Strait Islander LanguageAcehneseAcholiAfrikaansAkanAlbanianAmharicAnuakArabicArmenianAromunian (Macedo-Romanian)AssameseAssyrian Neo-AramaicAuslanAzeriBalineseBalochiBariBasqueBassaBelorussianBembaBengaliBikolBisayaBislamaBosnianBulgarianBurmeseCantoneseCatalanCebuanoChaldean Neo-AramaicChin HakaCroatianCzechCzechoslovakian, so describedDan (Gio-Dan)DanishDariDhivehiDinkaDutchEstonianEweFijianFijian HindustaniFilipinoFinnishFrenchFrisianFulfuldeGaGaelic (Scotland)GeorgianGermanGilberteseGreekGujaratiHakkaHarariHausaHazaraghiHebrewHindiHmongHungarianIbanIcelandicIgboIlokanoIlonggo (Hiligaynon)IndonesianIrishItalianJapaneseJavaneseKannadaKarenKashmiriKey Word Sign AustraliaKhmerKikuyuKinyarwanda (Rwanda)Kirundi (Rundi)KiwaiKonkaniKoreanKpelleKrahnKrioKurdishLaoLatinLatvianLetzeburgishLiberian (Liberian English)LingalaLithuanianLoma (Lorma)LugandaLumun (Kuku Lumun)LuoMacedonianMadiMalayMalayalamMalteseMandaean (Mandaic)MandarinMandinkaMannMaori (Cook Island)Maori (New Zealand)MarathiMauritian CreoleMin NanMonMongolianMoro (Nuba Moro)Motu (HiriMotu)NauruanNdebeleNepaliNiueNorf'k-PitcairnNorwegianNuerNyanja (Chichewa)OriyaOromoPampanganPashtoPersian (excluding Dari)PolishPortuguesePunjabiRohingyaRomanianRomanyRotumanRussianSamoanSerbianSerbo-Croatian/Yugoslavian, so describedSeychelles CreoleShillukShonaSign Language other than AUSLANSindhiSinhaleseSlovakSloveneSolomon Islands PijinSomaliSpanishSwahiliSwedishTagalogTamilTatarTeluguTetumThaiThemneTibetanTigreTigrinyaTimoreseTok Pisin (Neomelanesian)TokelauanTonganTswanaTuluTurkishTurkmenTuvaluanUkrainianUrduUygurUzbekVietnameseWelshWuXhosaYapeseYiddishYorubaZomiZulu Language spoken at home (other) What is your sexuality Bisexual/Bi+ Gay Heterosexual/Straight Lesbian Queer Don't know Prefer Not to Say I use a different term (Please Specify) Other
