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Courage and Confidence to Lead Application
1.
Name:
2.
Association/Club:
3.
Contact Information:
Email Address
Mobile Number
4.
Suburb/town:
5.
Age range:
Under 25
25-29
30-35
36-40
41-49
50+
6.
Current role on committee:
7.
How long have you been in this role?
8.
Why did you join the committee?
9.
What are the three main reasons that you would like to participate in this program?
1.
2.
3.
10.
What are the three biggest challenges that you currently face on your committee?
11.
What do you believe are the four main traits of a leader?
1.
2.
3.
4.
12.
What is your main fear/challenge from a career perspective?
13.
What do you want to learn/develop?
14.
Can you be available for 10 full-day mid-week sessions in a variety of metropolitan locations over the 10 month program?
Yes
No
15.
Anything else you wish to tell us about you?
16.
Any questions?
Current Progress,
0 of 16 answered