Mindarma Username*

First Name*

Last Name*

Email*

Confirm Email*

Gender*
Select an option Prefer not to say female male non-binary

Select all that apply
I am a First Nations person
I speak a language other than English at home
I live with a disability

Business Information

Your Business ABN*
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Business Postcode*

Region*
Select an option Adelaide Adelaide Hills Barossa Clare Valley Eyre Peninsula Fleurieu Peninsula Flinders Rangers and Outback Kangaroo Island Limestone Coast Murray River, Lakes and Coorong Riverland Yorke Peninsula

Industry Type*
Select an option Agriculture, Forestry and Fishing Mining Manufacturing Electricity, Gas, Water and Waste Services Construction Wholesale Trade Retail Trade Accommodation and Food Services Transport, Postal and Warehousing Information Media and Telecommunications Financial and Insurance Services Rental, Hiring and Real Estate Services Professional, Scientific and Technical Services Administrative and Support Services Public Administration and Safety Education and Training Health Care and Social Assistance Arts and Recreation Services Other Services None Selected/Not Available

Position*
Business owner
Employee (not the owner)

Family owned business*
Select an option Yes No

Number of employees in organisation (full time equivalent)*
Select an option Sole trader 1-4 5+

Turnover*
Select an option Unsure/prefer not to say < $75k $75-200k $200-500k $500k-1m $1m-5m > $5m