Application form

Leadership WA’s Rising Leadership Program

1Welcome/Personal Details

2Personal Details

3Social Media

4Education

5Employment and Experience

6Scholarship

7Personal Leadership

8Personal Leadership

9Payment and Submit

PERSONAL DETAILS
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date of Birth*
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
Where did you hear about us?*
If other, please specify*

SCHOLARSHIP
Please describe your current leadership role in actively working in or for the betterment of the construction sector in Western Australia*
(max 250 words)
How do you feel participation in the Rising Leadership Program will enhance your ability to support the construction sector?*
(max 250 words)
How do you practically intend taking your leadership learnings back to your workplace and the construction sector?*
(max 250 words)
Please tell us about the financial situation of your organisation and the need for financial assistance or your personal financial hardship*
Please note Scholarships are available for those who are self-employed in small businesses and those working in the not-for-profit sector in a small to medium sized organisation.
If you are successful and are offered a Scholarship please tell us how participation in the leadership program will benefit yourself, your organisation and enhance your capacity to make a positive impact on the community?*
A critical consideration for the Mt Burdett Foundation and Leadership WA is how you will demonstrate that your participation in this program will help you make a marked difference in your community? ie Tell us what you will commit to doing? How will this have a lasting impact in your community?*
What inspires you about your regional community and why?*
Please attach a brief letter from a member of your community who will provide a character reference to support your application. It needs to include how they know you and what they see as your current and/or potential contribution(s) to your community.
Max. file size: 128 MB.
What do you consider your highest or most significant career achievement to date?*
Please describe the structure, size and scope of the team you lead? This can be direct reports or a project team. If you don’t currently lead a team, that is fine, please help us understand in what way you are leading other people and will be able to apply the learning as you go through the program.*

Application form

Leadership Western Australia

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