Nominate an IAASyster NZ - Internet Association of Australia

IAASysters NZ 2025 Application Form

APPLICANT DETAILS

Please enter your details.

Salutation(Required)

Name(Required)

First Last

Home Address(Required)

City State / Province / Region

Email(Required)

Mobile Phone(Required)

Company/Affliation(Required)

*indicate name of educational institution if applicable

Current Job Title(Required)

*indicate 'student' if applicable

How would you describe your gender?(Required)

Female (including transgender women)

Male (including transgender men)

Prefer to self describe as ____________ (non-binary, gender-fluid, agender, please specify)

EXPERIENCE

Overview of your current role and/or training you have completed(Required)

Within the internet industry, do you work in network operations, engineering, IT, marketing, regulation, customer support or are you studying towards a relevant degree or diploma?(Required)

Yes

If you answered 'No' above, please provide more information as to why you should be considered.

Are you hoping to advance your career in the sector?(Required)

Yes

Please provide a summary of your career aspirations.(Required)

Have you previously attended an Internet industry conference?(Required)

Yes

If you answered 'Yes' above, which conference(s) have you attended?

Complete this prompt: I love the internet and the internet industry because...(Required)

REFEREE ENDORSEMENT

Please enter the contact details for the person providing your endorsement statement (an employer is preferred, however you may choose a suitable industry referee). An endorsement is required as part of a complete submission and in order for your application and be considered.

Salutation(Required)

Name(Required)

First Last

Relationship to Applicant(Required)

If you answered 'other' above, what is the relationship?

Company/Affliation(Required)

Position in the Organisation(Required)

Email(Required)

Phone(Required)

Endorsement Statement(Required)