I-LEAD Application

1Personal Details

2Employment

3Information for Selection Panel

4Community and Sector Involvement

5Referee

6Commitment

Please confirm which I-LEAD program you are applying for*
This program is not taking applications at present, please proceed with the application and we will note your interest and inform you when a program is available.
PERSONAL DETAILS
Your details
Title*
Name*
First Last Suffix
Preferred Name
Gender*
Details
Date of birth*
DD slash MM slash YYYY

Format: dd/mm/yyyy
Phone
Mobile*
Home Phone
Work Phone
Email addresses
Email address*
Secondary email address
LinkedIn profile address
Residential address
*
Street Address Suburb State Postcode Country
Location*
Postal address
Same as residential address
- Use residential address as postal address
*
Street Address Suburb State Postcode Country
Location*
How did you hear about this program?
Hidden
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EMPLOYMENT
Current employer
Employer name*
Employer's website
Position held*
Employer's postal address
Street Address Suburb State Postcode Country
Start date
DD slash MM slash YYYY
Employment sector*
Public sector (additional information)*
Size*
Industry*
Other industry*
Occupation*
Other occupation*
Role category
Other role category
Briefly describe your role and responsibilities, outlining your annual budget, your team size and the number of direct reports*

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INFORMATION FOR THE SELECTION PANEL
Please let us know you meet the eligibility criteria for this program.*
Please outline any previous experience you have had in leadership roles or leadership development programs.*
Explain why you wish to participate in this program and what you hope to gain from your participation.*

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COMMUNITY AND SECTOR INVOLVEMENT
Describe any volunteer or pro-bono activity you are currently involved in
What do you feel are the three most important challenges facing your sector today?
What are three opportunities available to your sector?
How are you, or might you, contribute to seize these opportunities?

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REFEREE
Please provide details for a referee knowledgeable about your leadership performance and potential. The person should be from your industry or organisation, and we ask that you avoid direct family members. Your referee must be willing to answer a number of questions via an online form. This will be sent to them shortly after submission of your application. We encourage you to speak to them prior so they are prepared.
Referee
Title
Name*
First Last Suffix
Relationship to you*
Time known
Job title
Organisation name
Email address*
Mobile

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COMMITMENT
I have received all required Covid-19 vaccinations*
Covid-19 digital certificate*
Max. file size: 64 MB.
Payment*
- My employer will be paying the full fee of $1,470
- I will be paying the full fee $1,470
- I would like to apply for a subsidised place ($295 NFP and $470 T&H))
- I would like to apply for a scholarship (ATDC or TasNetworks)
Who should we invoice?
Name*
First Last
Job title
Contact email*
Primary phone
Alternate phone
Scholarship supplementary question*
If applying for a scholarship, please indicate which one, and tell us briefly how you meet the eligibility criteria?
Subsidy supplementary question*
Commitment*
- I confirm that the information provided in this application is true and correct
- I confirm that I understand the time commitment required to participate in this program
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PERSONAL DETAILS