LM (Org Dyn) Application Form

Application for Leadership and Management (Organisation Dynamics)

Please fill out the form carefully. Items marked with an * are required.
Section 1: Applicant Information:
Applicant's Name*

TitleGivenNameMiddle NameFamily Name
Preferred Name
E-mail*

Confirmation Email
Phone Number*
Please select course*

Master of Leadership and Management (Organisation Dynamics)Graduate Diploma of Leadership and Management (Organisation Dynamics)Graduate Certificate of Leadership and Management (Organisation Dynamics)
When would you like to commence studying?*

FebruaryJulyOther
Section 2: Education, background & qualifications:
Please select your level of highest educational attainment*
Please list details of post-secondary studies you have completed including: name of qualification; years enrolled; and institution*
List details of any studies you are currently undertaking or have partially completed
If applicable, will you complete your current studies prior to commencement of your proposed NIODA course?

YesNoOther
Is English your first language?*

YesNo
Please supply the documentation to meet the English Proficiency Requirements outlined at www.nioda.org.au/policies

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Section 3: Relevant Work Experience:
List details of employment relevant to this application including: work role; organisation; and duration of employment*
Section 4: Supporting Documentation:
I will supply a copy of my highest attainment post-secondary academic transcript:*

uploading now (below)by email to admin@nioda.org.auvia eQuals and email the pin code to admin@nioda.org.au
Academic Transcript

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Curriculum Vitae*

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Section 5: Applicant Declaration:
Please read and check all the boxes. I certify that*

the information supplied regarding my application is complete and correctmy response to the questions that form this application are my ownthe submission of incorrect or incomplete information may result in the withdrawl of any offer and/or the cancellation of enrolment at any stageit is my responsibility to provide all relevant and required documentary evidence of my qualifications.NIODA will take reasonable steps to verify any or all of the information that I have provided.
Date of Declaration*

DayMonthYear
Would you like to be added to NIODA's mailing list?

Yes, please!
Thanks, but I'm already on it.No, thank you.
If you have any questions or comments, please contact us
- by email to your NIODA contact or admin@nioda.org.au
- by mail to PO Box 287, Collins Street West, VIC 8007
Should be Empty:

Application for Leadership and Management (Organisation Dynamics)