Launchpad Enquiry
Sign-up for announcements about the next Launchpad
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What is your first name? *

 
What is your last name? *

 
Phone number *

 
Where are you based? *


 
How are you interested in engaging with Launchpad? *


 
If there is anything you'd like to tell us about you or your idea, add it here.

We are asking this question to better understand who is interested in hearing about the next Launchpad. It won't affect any Launchpad application you might choose to make down the track.
 
How did you find out about Launchpad? *


 
Almost there! Would you like to receive Ākina's newsletter? *

     
 
Lastly, we're interested in understanding the diversity of the people we support at Ākina.  Please provide this information to help us build that picture - it will only be used in summary form and will not affect the selection process.

It is not mandatory to answer these questions.
 
Age


 
Sex


 
Ethnicity

Source of categories:  NZ Stats

 
Do you identify as having a disability?

     
Great, thanks! We'll be in touch soon.
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