Rising Register | Leadership WA

We are delighted you are interested in applying for Leadership WA’s Rising Leadership Program. Entry to the Program is competitive. You will be contacted within 4 weeks of submitting your application form to arrange an interview. All applications are then assessed by a selection panel and you will be advised of the outcome of your application once the selection process has been completed.

During the selection process, we aim to make the Program cohort a diverse mix of backgrounds, industries, occupations, and experience. This is to ensure the cohort has a wide diversity of thought, which makes for a more rewarding experience for all participants.

A limited number of full or partial scholarships may be available, thanks to the generosity of donors to the Leadership WA Foundation. Your assessment of suitability for the Rising Program is not affected by any request for scholarship support. Alternatively, submitting your application early may create the opportunity for an early offer of a place so you may then be able to source your own funding support, if required.

WHEN APPLYING, PLEASE NOTE:
• All applications are confidential.
• All questions must be completed in full and the declaration must be signed.
• Individuals may nominate themselves but employed applicants must have the full support of their employer to participate. If you are self-employed, you can support your own application.
• You are requested to upload a current headshot (as .jpeg or .gif file) and professional profile / Bio (as Word DOC/DOCX or PDF file) as part of this application. Files must be uploaded prior to submitting the form. (NB: File sizes must not exceed 400kb)
• You can save and continue this form by clicking the link at the bottom of the page. A unique link will be sent to your email. Please note this link will only be active for 90 days.
program
Year

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Are you applying for the Aboriginal Regional Scholarship?*
- Yes
- No
To apply for the Aboriginal Regional Scholarship you must identify as Aboriginal and based in Regional Western Australia.P{reference is given to applicants from Not for Profit Organisations or Small Businesses
What intake are you applying for?*
- March
- July
PERSONAL DETAILS
Title*
Name*
First Last
Personal Email*

This will be how we send your Program information and acceptance letter. As some work domains may reject our emails as part of their security measures, we recommend a personal address.
Work Email*

This is the email that we will send your invoice to. If you are planning on applying for a scholarship or paying personally, please re-enter your personal email.
Phone*
Work Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date of Birth*
Date Format: DD slash MM slash YYYY
Gender*
- Female
- Male
- Other
If other, please specify*
What do you identify as your cultural background?*
If multiple please separate with a comma (,)
Do you identify as Aboriginal Australian and/or Torres Strait Islander?*
- Yes
- No
Upload Resume*
Accepted file types: docx, doc, pdf.
Upload Headshot*
Accepted file types: jpg, gif, png, pdf.
Where did you hear about us?*
If other, please specify*

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SOCIAL MEDIA
LinkedIn URL
Professional Facebook URL
Professional Twitter URL

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PERSONAL LEADERSHIP
What do you consider your highest or most significant leadership achievement to date?*
How would you describe your leadership style/s?*
What are your key values and why? (approx. 250 words)*
Who inspires you as a leader or role model and why? (approx. 250 words)*
What skills or knowledge do you think leaders need to develop or know for the future? (approx. 250 words)*
What is it about your desire to improve your leadership that makes you want to participate in this program? (approx. 250 words)*
Please outline any leadership training/courses/subjects you have completed via studies, employment or voluntary work.*

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Leadership Western Australia

Street Address

Postal Address

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