ERLI Application Form

Esperance Ravensthorpe Leadership Initiative Application Form
Personal details
Your name*

First NameLast Name
Email*
example@example.com
Phone number*
Birthdate*

MonthDayYear
Date
Location*
Are you an Australian resident?

YesNo
Employment Details
Organisation*
Job title*
How long have you been in this organistion?*
Employer Organisation Type

Subsidised participant fee - Corporate - $1000Subsidised participant fee - Not for profit - $250Subsidised participant fee - Small business - $500Subsidised participant fee - Small business/self employed - $500
Please discuss with your employer if they are able to cover the participant fee on your behalf
Please indicate the skills needed to undertake this role. (100-150 words)*
About You
What attributes do you feel make you a suitable candidate for the Esperance Ravensthorpe Leadership Initiative? (100-150 words)*
What does effective leadership mean to you, and why is it so important in a regional business community? (100-150 words)*
What aspirations do you hold for the future with respect to your working career? (100-150 words)*
What benefit will your employer/the broader community gain from your leadership and management skills? (100-150 words)*
How will you balance the workload required by this program with existing work/life commitments? (100-150 words)*
Existing qualifications*
Program Conditions
- Successful applicants are expected to commit to attending each full-day session.
- Participants will need to enrol with South Regional TAFE.
- Only permanent Australian Residents and Citizens will be considered.
- Recognition of Prior Learning will not be accepted for this program.
- The TAFE lecturer may attend the applicant’s place of work to conduct a workplace assessment.
- The applicant’s Employer (or community group representative) must provide an endorsement to confirm their support and willingness to provide all required assistance for the applicant to complete the program successfully.
Declaration

The information I have provided is true and correct and I understand what is required to complete this program if I am selected.
Signature*

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Date

MonthDayYear
I give permission for the use of photographs taken throughout the program to be used for promotion and marketing.

YesNo
Please upload your resume

Cancelof
Please note there is a separate form to be completed by your employer.
Should be Empty:

Esperance Ravensthorpe Leadership Initiative Application Form

Personal details

Employment Details

About You

Program Conditions

Declaration