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Women's Community Sport Leadership Program- Expression of Interest
1.
Your Details:
Name
Employer / Sports Organisation
Residential Postal Code
Email Address
Phone Number
2.
Gender:
Woman
Man
Prefer not to say
3.
How long have you been employed or volunteered in community sport?
Less than 1 year
1-2 years
2-5 years
5-10 years
10 plus years
4.
What are your current roles in sport? Please include organisation name and role.
5.
Which Local Government Area is your organisation located in?
Bass Coast
South Gippsland
Baw Baw
Wellington
Latrobe
East Gippsland
Gippsland Wide
6.
Are you currently involved in any other leadership programs?
Yes
No
Unsure
Please list the name of the program as required:
7.
Considering that this leadership program is designed to discuss and better understand gender equity issues in community sport across Gippsland, please rate yourself on a scale of 0-10 for the following statements:
(Lowest)
0
1
2
3
4
5
6
7
8
9
(Highest)
10
I am
aware
of my responsibilities and what I could/need to do to address this topic
(Lowest)
0
1
2
3
4
5
6
7
8
9
(Highest)
10
I am
confident
I can complete & address what I need to do for this topic
(Lowest)
0
1
2
3
4
5
6
7
8
9
(Highest)
10
I am
aware
of tools and resources available to support my work to address this topic
(Lowest)
0
1
2
3
4
5
6
7
8
9
(Highest)
10
I have the
confidence
to make improvements in my work around this topic
(Lowest)
0
1
2
3
4
5
6
7
8
9
(Highest)
10
I have the
knowledge & skills
to improve my work to address this topic
(Lowest)
0
1
2
3
4
5
6
7
8
9
(Highest)
10
I am ready to make improvements in our workplace around this
topic
(Lowest)
0
1
2
3
4
5
6
7
8
9
(Highest)
10
8.
I have read and understood the information provided about this women's leadership program and that will run until December 2021.
Yes
No
Unsure