CILTNZ LEADERS FOR THE FUTURE 2019 Leadership Programme Preliminary Application

We welcome your application and look forward to engaging with you through the selection process.

Please fill this in online, making sure that you scan the signed page, and forward it to jo.brosnahan@gmail.com, mobile 021576595. Applications close on 30th November, 2018. Late applications may be received but incur an additional cost.

Please be relatively brief but do not be constrained by the boxes on this Application Form.

Personal / Contact Details

Full Name

How did you hear about the Leaders for the Future Programme?

Home postal address:

Work postal address:

Home email:

Work email:

Preferred email for contact:

Mobile: Home phone: Work phone:

Details of your employment background and experience

Current Employer / Organisation

Current position

Brief description of your role (ie, responsibilities, challenges, budget, staff etc)

Immediate past position

Length of employment

What do you consider to be your most notable career achievement to date and why?

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Where do you see yourself in 10 years time?

What do you want to get out of this programme?

Employer’s Support

Your employer’s support is an important part of commitment to participate in the Programme.

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To be completed and signed by the applicant’s CEO / Sponsor.

This candidate has my full support to participate in the 10 day Leaders for the Future Programme which will begin in March 2019 and run until late May 2019. I am aware of the time commitment and Programme Fee ($8500 +GST), which is to be paid prior to the Programme commencement.

Name:

Position Held:

Organisation:

Date:

Signature:

Personal Commitment

To be completed and signed by the applicantPlease ensure that you are able to commit the time for the programme.

I recognise the time and commitment required and confirm that I am able to undertake the Leaders for the Future Programme on this basis.

Signature:

Date of commitment:

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Privacy Policy

The personal information provided by you to Leaders for the Future will only be used for the purposes for which it was collected. Personal information and email addresses will not be disclosed to other organisations and measures will be taken to protect unauthorised access or disclosure other than with your consent.

Contractual Obligations

By accepting a place on the CILTNZ Leaders for the Future Programme, a participant contracts to pay the fees due for the Programme at the date specified on the invoice.

Leaders for the Future is not able to replace a participant who may withdraw from the Programme once it has commenced. For this reason, no refund will be given if a participant withdraws. We ask you to review your ability to commit to the time (10 days) attendance required for participation and to discuss this with your employer to secure their commitment and support for your application.

© Leaders for the Future 2018

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