Women's Environmental Leadership Australia - 2018 Application

Please fill in this form to apply for the 2018 WELA Program.

If you have any difficulties with this application, or would like a Word doc or hard copy application form email welaprogram@gmail.com or phone India Prior on 0403 198 959.

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* 1. Contact details

Name

Organisation (if relevant)

Address

State

Postcode

Email Address

Phone Number

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* 2. Please describe your current involvement in environmental campaigning and/or leadership

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* 3. Why are you applying for the WELA program? What particular knowledge or skills do you want to acquire or strengthen?

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* 4. What is your current thinking about women and leadership issues in the environment movement?

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* 5. How do you expect to apply the skills and knowledge you acquire through the WELA Program? How will you share what you learn with other women?

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* 6. How do you think you are suited to participate in a series of experiential learning workshops focusing on leadership with a cohort of 20 other women environmentalists?

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* 7. Registration Fees
Registration fees cover all costs associated with participation in the Program and its three residential workshops (12 days). It includes travel support for those who need it, all food and lodging for the three workshops, and all materials, course time and mentorship time. We prefer if you are able to pay on registration but are also open to payment in instalments through the year. A very limited number of scholarships are available – we encourage you to undertake your own fundraising to cover your fees. If seeking sponsorship and donations please note that WELA is auspiced by the Green Institute, donations to the Green Institute are tax deductible.

Please check as many boxes as apply to your circumstances.

Organisational rate $4950 (GST included).

Small group $2950 (GST included).

Individual rate (unsupported by an organisation) $2950 (GST included).

I would like to apply for a scholarship.

I would prefer to pay the registration fee in instalments (usually 50% on registration and 50% by 15 July 2017)

I would appreciate support with fundraising or sponsorship to cover my fees.

My organisation is able to accept donations or sponsorship to help cover my fees.

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* 8. Organisational support (if applicable)
Does your organisation support your participation in WELA 2017? Please note that organisational support is important in terms of time away from the workplace to attend retreats and management of workload in those periods.

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* 9. Diversity
WELA aims to gather a diverse cohort across age, location, parts of the environment movement, identities and backgrounds. Please tick as many identities/backgrounds as apply to you. This question is to help us gather a diverse cohort but not finding yourself in this list doesn't mean you won't be welcome at WELA.

Aboriginal or Torres Strait Islander

Woman of colour

Culturally and linguistically diverse

Working class

Lesbian, bisexual or queer

Trans*, intersex, nonbinary or other gender identity

Parent

Carer

Person with a disability

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* 10. Age
One of the strengths of WELA is the opportunity for inter-generational dialogue and learning. Please let us know your age so we can ensure a mix of ages in the cohort.

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* 11. Referee 1
Please provide the names and contact details of two people we can speak with about your environment movement experience and eligibility for the WELA 2018 Program.

Name *

Organisation/Role

Email Address

Phone Number

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* 12. Referee 2

Name *

Organisation/Role

Email Address

Phone Number

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* 13. CV
Please upload a CV with details of education and experience. Don't have a CV that's relevant to your environment movement participation, or not sure how to upload? Don't let that be a barrier to applying. If you leave this section empty we'll follow up with you.

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* 1. Contact details

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* 2. Please describe your current involvement in environmental campaigning and/or leadership

Question Title

* 3. Why are you applying for the WELA program? What particular knowledge or skills do you want to acquire or strengthen?

Question Title

* 4. What is your current thinking about women and leadership issues in the environment movement?

Question Title

* 5. How do you expect to apply the skills and knowledge you acquire through the WELA Program? How will you share what you learn with other women?

Question Title

* 6. How do you think you are suited to participate in a series of experiential learning workshops focusing on leadership with a cohort of 20 other women environmentalists?

Question Title

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* 8. Organisational support (if applicable)Does your organisation support your participation in WELA 2017? Please note that organisational support is important in terms of time away from the workplace to attend retreats and management of workload in those periods.

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* 10. AgeOne of the strengths of WELA is the opportunity for inter-generational dialogue and learning. Please let us know your age so we can ensure a mix of ages in the cohort.

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* 11. Referee 1Please provide the names and contact details of two people we can speak with about your environment movement experience and eligibility for the WELA 2018 Program.

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* 12. Referee 2

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* 13. CVPlease upload a CV with details of education and experience. Don't have a CV that's relevant to your environment movement participation, or not sure how to upload? Don't let that be a barrier to applying. If you leave this section empty we'll follow up with you.

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* 14. Final wordsIs there anything else you would like to say in support of your application? Do you have any questions for the organisers?

* 8. Organisational support (if applicable)
Does your organisation support your participation in WELA 2017? Please note that organisational support is important in terms of time away from the workplace to attend retreats and management of workload in those periods.

* 10. Age
One of the strengths of WELA is the opportunity for inter-generational dialogue and learning. Please let us know your age so we can ensure a mix of ages in the cohort.

* 11. Referee 1
Please provide the names and contact details of two people we can speak with about your environment movement experience and eligibility for the WELA 2018 Program.

* 13. CV
Please upload a CV with details of education and experience. Don't have a CV that's relevant to your environment movement participation, or not sure how to upload? Don't let that be a barrier to applying. If you leave this section empty we'll follow up with you.

* 14. Final words
Is there anything else you would like to say in support of your application? Do you have any questions for the organisers?