Emerging Leaders in Governance Program

Thank you for your interest in the 2023 Emerging Leaders in Governance Program for Women with Disabilities.

Please ensure you have read the Program Prospectus here before completing this application.

To ensure that we have all the information we need to assess your application, it is important that you complete all sections of the application form. This survey information is used for internal reporting purposes and to ensure we have a diverse range of participants in the program and to create a program that is inclusive for all.  The application process will close on the 31 May 2023.

We aim to notify all applicants of the outcome in July 2023. All information provided as part of the application process will be kept confidential.

We recommend you keep a copy of your application offline just in case something happens and this application fails to submit online.  You won't receive a confirmation email immediately after submitting this application but an email will be sent in early June confirming all applications received.  If you have any concerns, please email Alicia on alicia@alyceum.com.au.

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* 1. Please complete the contact details:

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* 2. Further Demographics

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* 3. Dietary Requirements

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* 4. What is your gender?

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* 5. Please share your disability experience.  This information is confidential and all disability is valid and welcome in our program.

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* 6. To ensure the program is inclusive and accessible, please share any access requirements to support your learning and involvement?

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* 7. How did you hear about this program? Please let us know if a particular person recommended the program to you.

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* 8. Please share a biography of up to 150 words (written in third person) about your professional career, volunteering experience and interest in the Not-For-Profit sector. If chosen as a participant, this biography will be used in marketing materials with your permission.

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* 9. Please add the URL of your LinkedIn profile.

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* 10. The program schedule includes weekly evening workshops from the 16 August 2023 (first workshop is a breakfast) including a weekend retreat from Friday evening to Sunday afternoon (8 - 10 September 2023) and Saturday sessions on the 7 October and 4 November. It is compulsory for you to attend all sessions of the program.

Please check these dates in your diary, are you able to commit to attend all the sessions to complete this program? (Please consider this carefully)

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* 11. The success of our program relies on your commitment.  Is there anything that you would like to share that may prevent you from fully engaging in the program?

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* 12. We are delighted to share our graduates on social media and to our community partners. Please let us know if you have any confidentiality requirements with participating in this program (e.g. not tagging on LinkedIn) and we will do our best to accommodate these requirements

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* 13. Why would you like to participate in the Emerging Leaders in Governance Program? (200 word limit)

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* 14. Provide one example of a major achievement or project you have accomplished in your workplace or community? (200 word limit)

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* 15. Why is it important to you to serve on a not for profit board? (200 word limit)

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* 16. Please let us know if you have previously or currently held a board or committee position and if so, which one/s.

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* 17. What steps have you previously taken to demonstrate your aspirations to improve your skills and knowledge as a Director on a Board or committee? (200 word limit)

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* 18. If you had the opportunity, when would you likely take on a Board position?

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* 19. Tell us about a key strength and also a weakness that you possess? (200 word limit)

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* 20. Please provide details of any volunteering you have undertaken in the last 5 years? (200 words limit)

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* 21. Why should you be chosen to participate in this program? (200 word limit)

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* 22. Please provide the name and contact details of one referee from your experience in community organisations or who supports your involvement in this program. (Please include their name, relationship to the applicant, phone number and email address).  Please let us know if we need to refrain from mentioning to your referee that you have applied to a program for women with disabilities.

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