Register for Skillsbank Leadership WA’s Skillsbank 1Welcome2Skillsbank3Organisation Details4Organisation Details5Contact Information 6Pro bono support required7Declaration Thank you for taking the time to complete your application for Skillsbank. The application consists of 2 sections, each of which will take approximately 10 minutes to complete. Please allocate a minimum of 20 minutes to complete and submit your application. Please note, in order for us to assess your application, you will be required to upload some supporting documentation at this stage. You can choose the ‘Save and continue Later’ option at any time. What best describes the project you are seeking support for?* Skillsbank Project Skillsbank Project - Board position, Mentor, advice and support eg business development, strategy development, consultation, and facilitation If you are unsure please call Leadership WA on 08 6381 6700 to discuss the help you are looking for. Have you submitted an EOI for a Skillbank or Community Project in the last 12 months?* Yes No How did you hear about Skillsbank?*Personal NetworkLeadership WA StaffLeadership WA WebsiteLeadership WA AlumniLinkedInWord of MouthSearch EnginePrevious use of SkillsbankOtherOther* Organisation DetailsName of Organisation* Are you a Not for Profit Organisation?* Yes No Thank you for your interest in Skillsbank. Skillsbank is only available to not for profit organisations within Western Australia and occasionally is available for community based initiatives. If you are a community based organisation please call us on 08 6381 6700 to discuss the help you are looking for. Organisation DetailsOrganisation Website* Please provide a brief profile of your Organisation and core activities*What is your Organisation's vision?*What is your Organisation's mission?*Average number of full time staff*Average number of volunteers*Does the Organisation have Deductible Gift Recipient status?* Yes No Please upload your logo* Drop files here or Select files Accepted file types: jpg, png, gif, pdf, Max. file size: 12 MB. Please upload your Constitution* Drop files here or Select files Accepted file types: pdf, doc, docx, Max. file size: 12 MB. Please upload your most recent Annual Report Drop files here or Select files Accepted file types: pdf, Max. file size: 12 MB. Contact InformationName* First Last Email* Phone*Your Position* Secondary Contact Name* First Last Secondary Contact Email* Secondary Contact Phone*Secondary Contact Position* Please indicate the availability of the contacts listed above* Pro bono support requiredWhat assistance are you seeking?*MentorBoard Member/DirectorMarketingBusiness PlanFacilitatorStrategic PlanningRisk ManagementOtherBriefly describe the current composition of the Board and level of Board functioning if you require a Board member.*Briefly describe the support that you are seekingWhat specific skill-sets are you looking for? (select two most applicable)* Administration & Office Support Advertising & Media Agriculture Audit and Risk Banking & Financial Services Board Experience Call Centre & Customer Service Coaching/Mentoring Communications/PR/Marketing Community Engagement Community Services Construction Consulting & Strategy Creative/Performing Arts Data Design & Architecture Digital/Cybersecurity Education & Training Engineering Environment & Conservation Event Management Finance & Accounting Fundraising/Sponsorship & Grants General Management Governance Government & Defence Healthcare & Medical Hospitality & Tourism Human Resources Industrial Relations Insurance IT/Information & Communication Technology Legal Manufacturing Mining, Resources & Energy Occupational Safety and Health Organisational Development Policy and Legislation Project Management Real Estate & Property Retail & Consumer Products Sales Science & Technology Small/Own Business Management Sport & Recreation Stakeholder Engagement Strategic Planning Tendering Trades & Services Other (please specify below) Please note that the more specific you are, the better. Please include a maximum of two specific skills you require for this position, i.e. marketing, accounting, technology, government advocacy.If other, please specify What is the main reason for the project and why is it important for your organisation?Define the scope of the project*Please outline the desired outcome of your project and any particular content that you would like to see?*Average number of pro-bono hours anticipated each month? Please provide any other relevant details about the time commitment required*Are there any risks associated with this project? If yes please provide further details*e.g Personnel changes, policy changes etc Is there a timeframe for this pro bono support? If yes please provide details* Start date?* DD slash MM slash YYYY Please indicate your anticipated start date for the Skillsbank Project End Date* DD slash MM slash YYYY What is the closing date for applications?* Please upload any other necessary documents that may be relevant to your project Drop files here or Select files Accepted file types: pdf, doc, docx, Max. file size: 12 MB. This may include business plan or strategic plan. Declaration Declaration: By submitting this form my organisation accepts: That Leadership Western Australia (Leadership WA) is the facilitator only and is not offering services under the auspices of Leadership WA; That Leadership WA Alumni, participants and LWA team members provide assistance as volunteers, not as representatives of their own employer nor as agents of Leadership WA; That although Leadership WA Alumni, participants and LWA team members offer their advice freely and to the best of their ability, no responsibility can be taken for how the advice is interpreted or used by your organisation, and where critical matters are involved your organisation should seek independent professional advice; That Leadership WA Alumni, participants and LWA team members cannot be held liable for anything done or not done in good faith by them within the scope of the pro bono arrangement facilitated by Leadership WA; and That it is your organisation’s responsibility to ensure that Leadership WA Alumni, participants and LWA team members are covered for workers’ compensation, public liability and professional liability insurance, where appropriate, for the duration of this arrangement. For Skillsbank projects, Leadership WA will actively promote this opportunity to our Alumni, however, we are unable to guarantee a placement or expression of interest from Alumni of Leadership WA as this is dependent upon the availability of an appropriate Alumni.. I have read and understood the above declaration** Yes