Screen Reader Mode Icon Check SCREEN READER MODE to make this survey compatible with screen readers. 2024 Participant Application Form - Youth GLF Please read through all the questions before beginning the application process. Thank you for your interest in the Youth Governor's Leadership Foundation Program, an incredible opportunity to build your leadership skills whilst making a positive impact in the community! Please complete this application by 5 April 2024. This 5-month intensive program involves 2 day overnight camp in Mylor (9am, Saturday 18 May - 4 pm Sunday 19 May) 12 week community action project - work in small teams to support an organisation progress a challenge 5 x in-person workshops at UniSA Business School, City-West Self-organised online meetings with your team and project coach A final project presentation and Graduation Ceremony on 24 October 2024 Check times and dates of workshops here Eligibility: You must be a current full time student aged 15 - 17 to complete the program in 2024Cost of the program = $1900 plus GST Please check with your parents if they can pay this. If not, we have some scholarships available (see below if you are eligible). If you're not eligible, don't worry, we can help you! Some ideas to get support include asking your school Principal, teacher, go to your Local Council because they often have youth grants or even ask your local Rotary club for help! Some students may even look to fundraise to gain a place in the program! Ask us for ideas- we are here to help!Applications Close on 5 AprilNotification of selection/scholarships: 22nd April More information can be found on our website: www.leadersinstitute.com.au For any questions please contact: Carole Woodmore Program Co-ordinator firstname.lastname@example.org 0429 844 371 OK Question Title * 1. Participant Details: First Name Surname Date of Birth School Email Address Mobile phone (yours if possible) OK Question Title * 2. Please tick agreement to acknowledge required attendance dates and components of what this 5-month program involves: 2 day overnight camp in Mylor (9am Saturday 18 May - 4pm Sunday 19 May). Bus pick up/drop off Adelaide CBD 12 week community action project - working in small teams to work with a local organisation to help them progress a challenge they are facing 5 x in-person workshops at UniSA Business School, City-West Adelaide City. Self-organised online meetings with your team and project coach A final project presentation and Graduation Ceremony in October 2024 OK Question Title * 3. What is the name of your School? OK Question Title * 4. What year of school will you be in 2024? OK Question Title * 5. Please provide contact details of your school teacher: Name (First and Last name) of your teacher Teachers Contact phone: Teachers email: OK Question Title * 6. What is your cultural background? OK Question Title * 7. What suburb do you live in? OK Question Title * 8. Have you previously done any leadership development program(s)? Yes (if so please list below) No Other (please specify) OK Question Title * 9. What skills/qualities do you wish to develop? (pick top 4) Self Confidence Public speaking Self motivation Better at dealing with conflict Problem-solving Assertiveness Leadership Goal-setting for future Time Management/ Planning/ Organisation OK Question Title * 10. Participant Written SectionPART A - Community involvement and leadership (100 words max)- Choose a leadership role (or position of responsibility) that you have fulfilled either in your school, sport, home or community in the past 2-3 years. Outline what this role requires of you (the tasks you have to do) and the leadership skills you have demonstrated. OK Question Title * 11. Participant Written SectionPART B - Leading change (200 words max)- Review the 17 United Nations Sustainable Development Goals. Choose two that you feel most passionate about?- What changes do YOU want to see in the world and how might YOU go about doing that? 1st choice 2nd choice OK Question Title * 12. PART C - Your WHY (200 words max) - Why would you like to participate in this program and what do you hope to gain from involvement in this program? OK Question Title * 13. PART D - Personal interests - List your main areas of interest. These may include music, sport, clubs, religious and service organisations, competition entered, awards won, volunteer work and projects in which you have been involved. OK Question Title * 14. ScholarshipsThe cost of the program = $1900 plus GST. We understand not everyone can afford this. We do have some scholarships available. If you require a scholarship to participate in the Youth GLF Program please tick below the scholarship option that applies to you.If none of these apply, you may like to ask your teacher to help you ask your Principal because the school might cover some of the cost, or call your Local Council as they may have youth grants. Or even ask your local Lions Club or Rotary Club may help. Finally you could fundraise.We also do payment plans. I am an Aboriginal or Torres Strait Islander person I came to Australia as a refugee I have a disability I have a School Card I am from the Pacific Islands I am from a regional area Other (please specify) OK Question Title * 15. If you are applying for a scholarship, please explain why you should benefit from this opportunity? OK Question Title * 16. By writing your full name here, you agree to the following terms of the program:- I will participate in the program to the best of my ability, participate in the group projects, whilst supported by a project coach, and to share my leadership learnings and the group projects at the Graduation Ceremony towards the end of the year.- I will do my best to communicate clearly and frequently with the team, project coach, Program Co-ordinator and community organisation. If I say I will do something, I will do it, and if I can’t, I will provide plenty of notice and enlist the help of a fellow team member to deliver tasks and not leave things until the last minute.- I am wiling to sign an agreement to say I will take reasonable steps to ensure I behave in a way that upholds rights of other participants in the Youth GLF Program- I accept that there will be times when I have to juggle my school, home and project priorities, but I understand I have a team and project coach to support me and I will voice any concerns I have and will not disappear or avoid dealing with problems until the last moment.- I will not pull out of the project until I have spoken to and received approval to withdraw from each of the following: 1) my parents, 2) the project coach AND the 3) the program co-ordinator, because I understand this could cause serious repercussions for the rest of the team involved in the project.Please write your full name and date in acknowledgement and agreement to these terms OK SECTION FOR PARENTS TO COMPLETE OK Question Title * 17. Parental Acknowledgement and Permission (please ask your parent to fill in this section)Please note: There will be an increased need for organisational skills as participants juggle school-work priorities with their projects, but this is all part of the ‘challenge’ and we provide a structured and supportive environment (this is where the growth and sense of achievement comes from at the completion of the project). The project coach will be guiding the project team and helping to problem solve along the journey. Only teenagers who are fully committed to following through with the program and the group project, should apply.There may be times you may need to help your teenager find transport to meetings in and across town. Please note, should we have any communication challenges, we may message you to help us contact your teenager, and potentially escalate any issues or concerns. Parents/ guardian Full name: Parents/ guardian contact mobile: Parents/ guardian contact email: Full residential address I provide consent for my teen to participate in this program? (Please advise Yes/No) I provide consent to my teen being in photos which may be used to promote the program (media)? (Please advise Yes/No) I understand that there may be an increased need for organisational skills as participants juggle school-work priorities with their projects I understand that I am expected to attend an information session once my teen has been accepted into the program Today's date: Parent/guardian signature (By typing your name this will be counted as your signature): OK Question Title * 18. PaymentThe cost of the program = $1900 plus GST.Some students may receive full/ part scholarships provided by sponsors of the program (section for students to complete above). You will find out when applications have closed and scholarships are offered.If your teen doesn't qualify for a scholarship, we will require full payment via credit card or Electronic Funds Transfer. We accept payment plans to be paid over 3 instalments.We recommend you seek reimbursement from the following sources: Your local council (may offer youth leadership grants), your school Principal (the school may offer scholarships), your local Rotary or service Club (may contribute in return to have them speak about their experience), your teenager fundraises to help support the cost https://www.teapot-trust.org/fundraising-ideas Please tick which payment option: Credit card full payment EFT full payment EFT 3 x instalments Only possible to participate if scholarship application is successful Other (please specify) OK Question Title * 19. How did you find out about the program? Did anyone refer you? OK CLICK HERE TO FINISH. THANK YOU FOR APPLYING FOR THE 2024 YOUTH GLF PROGRAM. WE’LL BE IN TOUCH.