Name
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Email
Are you a member of PPIMS?
If no, would you like to join the mailing list?
If you are already a member of PPIMs, when did you join?
Have you completed the 2023 PPIMs Network survey?
Name of Peer Position if applicable
Is the Peer position paid or voluntary?
What is the Peer position organisation link?
Do you give consent for your name and email to be passed onto RPLYT Exploration Mastery (Australia) (This is required to be able to join)
Do you give consent for your contact details to be shared with other PPIMS Network members who sign up for this membership (this is not a requirement just an opportunity to link with other peer workers)
Is there any other information you'd like to share