First name
Last name
Email
Mobile
1.
Gender Identity (include pronouns)
2.
What motivates you to be part of the Trailblazer Retreat? (100-150 words)
3.
What do you hope to learn or gain from this program? (100-150 words)
4.
What social justice issue(s) are you most passionate about?
5.
What community initiatives or organisations have you been a part of or volunteered for?
6.
While this Fellowship is designed for busy individuals, we ask fellows to commit to: Evening pre-session gathering: Sunday 22nd March 2026 Weekend retreat: 27–29th March 2026. Can you commit to these dates?
Please select
Yes
No
7.
Are you an AUJS member? Yes/No
Please select
Yes
No
8.
How did you hear about the Trailblazer Retreat?