Aboriginal Language Educator Fill in the form to request an Aboriginal Language Educator. Languages of Interest Check all that apply Bundjalung Dunghutti Gamilaraay/Yuwaalaraay/Yuwaalayaay Gomeroi Gumbaynggirr Murrawarri Paakantji Wiradjuri Checkbox Schools within the DoE Language and Culture Nests can claim 3 hours tuition at no cost per week. I would like to have 3 hours tuition ant no cost per week Region Date MM DD YYYY President Local President * Delegate to Region Yes No Proxy Address Address 1 Address 2 City State/Province Zip/Postal Code Country Working with Children's Check (WWCC) Phone (###) ### #### Email * Vice President Local Vice President Delegate to Region Option 1 Option 2 Proxy Address Address 1 Address 2 City State/Province Zip/Postal Code Country Working with Children's Check (WWCC) Phone (###) ### #### Email Secretary Local Secretary Delegate to Region Yes No Proxy Address Address 1 Address 2 City State/Province Zip/Postal Code Country Working with Children's Check (WWCC) Phone (###) ### #### Email Treasurer Local Treasurer Delegate to Region Yes No Proxy Address Address 1 Address 2 City State/Province Zip/Postal Code Country Working with Children's Check (WWCC) Phone (###) ### #### Email Thank you!