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diversity_grants_application
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diversity_grants_application
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<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01//EN" "http://www.w3.org/TR/html4/strict.dtd"><html><head><link rel="shortcut icon" href="https://ssl.gstatic.com/docs/spreadsheets/forms/favicon_jfk2.png" type="image/x-icon">
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<title>Google Australia & PyCon Australia gender diversity grants for women in Python</title>
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<body class="ss-base-body" dir="ltr" itemscope itemtype="http://schema.org/CreativeWork/FormObject"><meta itemprop="name" content="Google Australia & PyCon Australia gender diversity grants for women in Python">
<meta itemprop="description" content="If you have any questions about this application form, please contact [email protected].">
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<div class="ss-form-container">
<div class="ss-form-heading"><h1 class="ss-form-title">Google Australia & PyCon Australia gender diversity grants for women in Python</h1>
<p></p>
<div class="ss-form-desc ss-no-ignore-whitespace">If you have any questions about this application form, please contact <a href="mailto:[email protected]">[email protected]</a>.</div>
<hr class="ss-email-break" style="display:none;">
<div class="ss-required-asterisk">* Required</div></div>
<div class="ss-form"><form action="https://docs.google.com/spreadsheet/formResponse?formkey=dGpXUndmdGgyT3RZWm9LM2lXeGN5WGc6MA&ifq" method="POST" id="ss-form">
<br>
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<div class="ss-item ss-item-required ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_0">Name
<span class="ss-required-asterisk">*</span></label>
<label class="ss-q-help" for="entry_0">Your full name.</label>
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<br> <div class="errorbox-good">
<div class="ss-item ss-item-required ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_1">Email
<span class="ss-required-asterisk">*</span></label>
<label class="ss-q-help" for="entry_1">A contact email address</label>
<input type="text" name="entry.1.single" value="" class="ss-q-short" id="entry_1"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-item-required ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_2">Phone Number:
<span class="ss-required-asterisk">*</span></label>
<label class="ss-q-help" for="entry_2">Best phone number to be contacted on.</label>
<input type="text" name="entry.2.single" value="" class="ss-q-short" id="entry_2"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-item-required ss-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_5">Referee Name
<span class="ss-required-asterisk">*</span></label>
<label class="ss-q-help" for="entry_5">Please provide the name of the person who will be sending us a written reference supporting your application.</label>
<input type="text" name="entry.5.single" value="" class="ss-q-short" id="entry_5"></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-item-required ss-checkbox"><div class="ss-form-entry"><label class="ss-q-title" for="entry_11">Diversity grant eligibility:
<span class="ss-required-asterisk">*</span></label>
<label class="ss-q-help" for="entry_11">By checking this box, you confirm that you are eligible for the diversity grant of subsidised registration to PyCon Australia 2012.</label>
<ul class="ss-choices"><li class="ss-choice-item"><label class="ss-choice-label"><input type="checkbox" name="entry.11.group" value="I am a woman, aged 18 years or older, and I intend to attend both days of PyCon Australia 2012 if awarded this grant." class="ss-q-checkbox" id="group_11_1">
I am a woman, aged 18 years or older, and I intend to attend both days of PyCon Australia 2012 if awarded this grant.</label></li>
</ul></div></div></div>
<br> <div class="errorbox-good">
<div class="ss-item ss-checkbox"><div class="ss-form-entry"><label class="ss-q-title" for="entry_10">Travel grant application and eligibility:
</label>
<label class="ss-q-help" for="entry_10">By checking this box, you confirm that you are eligible and wish to apply for the additional funding to facilitate your travel to and accommodation near the venue, up to a total of $500. You are eligible for the travel grant if you live more than 150km driving distance away from the conference venue. If you are unsure, please visit http://maps.google.com.au/maps/place?q=Wrest+Point,+Tasmania and use the "Get Directions" link in the upper left-hand corner to calculate the driving distance from your place of residence to the venue. </label>
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I live more than 150km driving distance away from the conference venue, and wish to apply for the additional travel grant.</label></li>
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<br> <div class="errorbox-good">
<div class="ss-item ss-item-required ss-paragraph-text"><div class="ss-form-entry"><label class="ss-q-title" for="entry_9">Please provide a summary of your involvement in the Python community (up to 500 words).
<span class="ss-required-asterisk">*</span></label>
<label class="ss-q-help" for="entry_9"> Examples of involvement include but are not limited to: contributions to the core Python language or libraries, development of applications in Python, writing documentation or other non-code contributions to Python or a Python application, participation in mailing lists or support for Python or a Python application, and giving presentations about Python or applications written in Python.</label>
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<br>
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