Tasmanian Leaders Inc

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Program Acceptance Survey

I-LEAD Program Acceptance

"*" indicates required fields

Your details for our participant hand book

Name
Preferred email for program communication and to be shared with program peers.
Preferred email for program communication and to be shared with program peers.
To enable us to communicate and share documents with you during your program experience, we will be establishing a Microsoft Teams account. To help set this up, please confirm the email you would like the account invitation to be sent to? This email will be used for log ins and notifications. If you already have a Microsoft Teams account you might like to use the same email address.
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Let us know what details you would like on your name badge

Preferred name, role, and the company you are representing
e.g. Ange Driver instead of Angela Driver
e.g. Tasmanian Leaders Inc.
e.g. CEO

Details of primary emergency contact

Full name
Husband, wife, partner, parent, brother, sister, etc.
#### ### ### or landline ## #### ####
#### ### ### or landline ## #### ####

Program Acceptance Questions

Program Dates*
Terms and Conditions*
https://www.tasmanianleaders.org.au/i-lead-terms-and-conditions/
Participant charter*
I-LEAD participant charter*
I-LEAD participant charter*
I-LEAD participant charter*

Medical, dietary, and accessibility

We want to ensure we are able to support your participation in the program
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Communicate and share information during the program

To enable us to communicate and share documents with you during your program experience, we will be establishing a Microsoft Teams account. To help set this up, please confirm the email you would like the account invitation to be sent to? This email will be used for log ins and notifications. If you already have a Microsoft Teams account you might like to use the same email address.
Hidden
The email address you received the form link from
Hidden
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A little bit more information

Please submit a short 100-150 word bio about your career that we will share with fellow participants.
Please upload a headshot that we can include with your bio.
Max. file size: 64 MB.

Consent*
www.tasmanianleaders.org.au/i-lead-terms-and-conditions
Participation*
I will undertake to attend all program sessions as outlined in my letter of offer. I understand that full benefit from the program can only be gained by full attendance and I acknowledge the expectation that participants will only be absent from program sessions in exceptional circumstances and any absence greater than 20% will impact my abilty to graduate. In the unlikely event that such circumstances arise, I understand this may impact my eligibility to graduate from the program.

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