Goulburn Regional Conservatorium Student and User Survey

Welcome to the Conservatorium's users survey.  The Conservatorium's users include students (and their parents and guardians), other participants in Conservatorium activities such as ensembles and external recipients of the Conservatorium's services such as schools, pre-schools and social organisations.

This survey is intended to provide the Conservatorium with vital information about the users of the Conservatorium's services to enable the Conservatorium to better provide these services and to report accurately to the New South Wales Government for funding purposes.

The Conservatorium asks that all students under the age of 18 complete this survey with a parent or guardian or that the parent or guardian completes the survey on behalf of the student.



Contact information

Who are you?

It is important for the integrity of this survey that the survey is completed by the Conservatorium's users or, in the case of users under the age of 18, those who have parental responsibility for those users.
Please describe your role in completing this form:  I am *
If neither of these alternatives applies, please do not continue.

If you are a user of the Conservatorium's services and under the age of 18, please arrange for a parent or guardian to complete the form on your behalf.  Please consult the Conservatorium director if this is a difficulty.


Please state your name:

The Conservatorium user's relationship with the Conservatorium

What is the relationship between the Conservatorium and the Conservatorium user to whom this survey relates (mark all that apply) *
 

The Conservatorium user's age

Please indicate the date of birth of the user of the Conservatorium's services.
 +

The Conservatorium user's names

If the Conservatorium user is an organisation, please identify your Director/CEO below and other contact people later in the survey

The addresses for the Conservatorium user



If the postal address is different from the residential address, please provide the postal address below.  Otherwise, leave the balance of this section blank.

The Conservatorium user's telephone details



Please indicate the best telephone number for contact during business hours

The Conservatorium user's email address

Other electronic contact details

Preferred method of communication

Please indicate the preferred method of communication
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