To join the Dunedin People's Panel please complete this form. The information you give us will help us understand the Panel membership so we can understand the wide range of perspectives from the people and communities who live within Dunedin. Your personal details will be kept confidential and you will not be identified in any reports. We have made some of the fields below compulsory (marked with *). If you don’t want to answer a particular question, please select the option "I'd prefer not to say". If you decide you don’t want to be part of the People's Panel, you can leave it at any time by clicking on the opt-out link provided at the end of all People's Panel emails. If you have any questions please get in touch with us at peoplespanel@dunedin.govt.nz
Please enter your first name (the name you prefer to be called)*
Please enter your surname
Please enter your email address*
Please select the suburb where you live*
Please select your year of birth*
Please select your gender*
Please select your ethnicity Select as many as apply.*
Do you own property in Dunedin?
Please select your primary work status*
Which of the following best describes your household*
Please select your pre-tax household income
Do you consider yourself to have a disability? If so, please indicate how this affects you.
Are there any community organisations you are actively involved with? If so, please specify
How did you find out about the panel? Please select all that apply.
Please confirm that you would like to join the Dunedin People's Panel*