Application form

Leadership WA’s Rising Leadership Program

1Welcome/Personal details

2Personal details

3Social media

4Education

5Employment and experience

6Personal leadership

7Payment

Thank you for your interest in applying for the Leadership WA Rising Leadership Program. Entry is competitive and will include an assessment of your application and an interview with a selection panel.

During the selection process, we aim to bring together a Program cohort from 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.You will be advised of the outcome of your application once the full selection process has been completed.

A limited number of full or partial scholarships are available, thanks to the generosity of donors to the Leadership WA Foundation and our other Scholarship partners and donors. Your assessment of suitability for the Rising Leadership Program is not affected by any request for scholarship support.

WHEN APPLYING, PLEASE NOTE:
• All applications are confidential. Your information is saved on our server as you enter it.
• All questions must be completed in full and the declaration must be signed.
• You can save and continue your application across the application period. You will be sent a unique link to access it, via email (please keep an eye on your junk folder).
• All questions must be completed in full, and the Terms and Conditions agreed to, ahead of submitting.
• 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 will be contacted within 4 weeks of submitting your application to arrange an interview. Should you have any queries, please contact Rising@LeadershipWA.org.au

We look forward to receiving your application.
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program
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Year
What intake are you applying for?*
- March
- July
Are you applying for a Scholarship?*
- Yes
- No
Which Scholarship are you applying for?*
- Leadership WA Foundation Scholarship
- LeadAbility Scholarship
- Mount Burdett Scholarship
*To apply for the Mt Burdett Foundation Scholarship you must: • Living and working anywhere in regional Western Australia• Early/Mid-level in your career• Passionate about creating a positive impact and difference where you live• Keen to build your leadership skills and put them into practice for your community
PERSONAL DETAILS
Title*
Name*
First Last
Name of organisation you are employed by*
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. This email will act as a unique identifier in the Leadership WA database.
Phone*
Work Phone
We highly recommend saving your Application at this point. The form can take 20 minutes to complete and by saving now you’ll be able to come back and complete the Application with additional information as needed. The link will be active for 90 days.

Save and Continue Later

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*

Save and Continue Later

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Leadership Western Australia

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