Inspired Leadership 2026 Application

EXPRESSION OF INTEREST

2026 Regional Leadership Development Program
APPLICATIONS CLOSE: Friday | 21 AUG 2026

All information you provide will be treated as
commercial-in-confidence and not shared beyond the selection panel.

If you have been directed to this page without having first read the full details online, please visit the RDA Inspired Leadership 2026 page for key program dates and information.

Please allow 20-45 minutes to complete this form.
You can save the form throughout and come back to it later if you need.
CONTACT INFORMATION
Name

First NameLast Name
Contact Phone Number
Please enter a valid phone number.Format: 0000 000 000.
Contact Email Address
example@example.com
Home address

Street Address

Street Address Line 2

CityState / Province

Post Code
1. In which council region do you reside, work, volunteer? Or, if you are Indigenous, which regions are home Country for you? (Please select all that apply)

ABOUT YOU
2. Your background - this helps us to understand more about you and whether or not you may have had some barriers to participation in similar programs.

Other - please specify
If you have any accessibility or support requirements to attend, please specify
3. Gender
4. What are your preferred pronouns?
He/him, she/her, they/them, etc.
5. Date of birth - it is important we know your age as we hope to deliver an intergenerational learning experience

DayMonthYear

REFEREES

Please provide the name and contact details for up to 3 personal or professional referees who can advocate for you. (Click fields below to expand)
- Name
  
  First NameLast Name
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Post Code
- Email
  example@example.com
- Mobile number
  Please enter a valid phone number.Format: 0000 000 000.
- This person is
- Name
  
  First NameLast Name
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Post Code
- Email
  example@example.com
- Mobile number
  Please enter a valid phone number.Format: 0000 000 000.
- This person is
- Name
  
  First NameLast Name
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Post Code
- Email
  example@example.com
- Mobile number
  Please enter a valid phone number.Format: 0000 000 000.
- This person is

EXPRESSION OF INTEREST