publicsector.wa.gov.au · web view2016 graduate future leaders please complete all seven sections...
TRANSCRIPT
Centre for Public Sector Excellence
2016 Graduate future leaders
Please complete all seven sections and attach your resume (of no more than 5 pages). Completed application forms should be emailed to [email protected] and must be received by 5:00pm Friday 11 March 2016.
Section 1Applicant’s details
Gender Choose an item.
Title Choose an item.
First name
Surname
Preferred name
Date of birth Date Month Year
Work email
Alternative email
Work phone
Mobile
Do you identify as Aboriginal or Torres Strait Islander?
Choose an item. This information will assist the Commission to improve learning and development outcomes for Aboriginal employees.
Do you consider yourself to have a disability impairment or long-term condition that may affect your participation in this program?
Choose an item.
If yes please specify:
This will not hinder your application but assists the Commission to provide appropriate support.
If selected, would you like to discuss this?
Choose an item.
Graduate future leaders 2016 Application formPage 1 of 8
Section 1 continued
Employment details
Agency
Branch/Division
Postal Address
Postcode:
Employment status Choose an item.
Date employed at agency Date Month Year
Substantive position title Level:
Acting position title Level:
Date and duration of acting
Are you based regionally? Choose an item. Region: Choose an item.
Education history
Qualification
Institution
Year completed
Qualification
Institution
Year completed
Graduate future leaders 2016 Nomination formPage 2 of 8
Section 2Applicant’s personal statement
This section is an opportunity for you to tell us about yourself and address the selection criteria.
Briefly explain your public sector career to date i.e. what tasks you perform, what learning/development/leadership opportunities you have had.
Why do want to participate in the Graduate future leaders program?
How do you imagine your participation in the Graduate future leaders program will assist you?
Where do you envisage yourself in the next three to five years?
Graduate future leaders 2016 Nomination formPage 3 of 8
Section 3Applicant’s declaration of commitment
I declare to the best of my knowledge the information on this form is correct and complete.In completing this application form I agree to:
the conditions outlined in the Graduate future leaders Program guide
attend Introduction day, all modules and the Recognition Ceremony
undertake all required coursework to the best of my ability
participate in and make myself available for the group project
notify the Commission of any changes to my circumstances
actively participate in the program evaluation and provide feedback to the Commission.
Is there anything you wish to add in support of your application?
SignedElectronic signatures are acceptable
Date:
How did you hear about this program?
colleague manager
Learning & Development/HR Unit Direct email
advertisement Intersector
PSC event PSC website
other PSC program Other
Graduate future leaders 2016 Nomination formPage 4 of 8
Section 4Line manager’s details
Full name Choose an item.
Position title
Branch/Division
Work email
Work phone
Mobile
Please comment on why you support this application.
Line manager’s endorsement
As the applicant’s manager, you are aware of the commitment required by participants to complete all aspects of Graduate future leaders.In endorsing this nominee, I confirm that I agree to:
the conditions of the Graduate future leaders program which state the participant must abide by the policies and administrative guidelines set out by the Program Manager
release the applicant to attend all aspects of the program, including time to work on the group project
provide the applicant with sufficient opportunity to incorporate learnings and activities in the workplace
ensure budget is available and payment is approved.
SignedElectronic signatures are acceptable
Date:
Graduate future leaders 2016 Nomination formPage 5 of 8
Section 5Payment details
The Graduate future leaders program fee is $600* (GST exempt) per participant. The fee includes:
A 30% cost subsidisation by the Public Sector Commission materials and resources face-to-face delivery of all modules by content experts administrative costs associated with the program and workshops.
The invoice for the program fee will be raised after attendance at Introduction day. Fees are to be paid in full once the invoice is received.
Program fees are non-refundable but substitute participants may be accepted. Please refer to the Program guide for withdrawal conditions.
*pending approval from the Department of Treasury
Invoices should be addressed to
Full name
Position title
Agency
Branch/Division
Phone
Postal Address
Postcode:
Graduate future leaders 2016 Nomination formPage 6 of 8
Section 6Chief Executive Officer endorsement
Full name Choose an item.
Position title
As Chief Executive Officer I agree:
that I endorse and support the candidate’s application
to release the applicant to attend all aspects of the Graduate future leaders program
approve the $600 program participant fee.
Would you like to add any comments in support of this application?
SignedElectronic signatures are acceptable
Date:
Graduate future leaders 2016 Nomination formPage 7 of 8
Section 7Agency application coordinator details
Only one copy of this form is to be completed per agency.To ensure a broad cross section of the sector is represented and to enhance the participants’ learning experience, applications may be limited to one successful participant per agency per intake. However, agencies are encouraged to nominate all suitable applicants to enable the Commission to determine demand for additional and future intakes.Should there be more than one application from your agency, please assign priority ranking for each applicant:
Applicant 1
Applicant 2
Applicant 3
Applicant 4
As the agency application coordinator, you will be the point of contact for the Commission in relation to the application process. You must ensure:
the agency priority list is complete and signed all applicants meet the eligibility criteria all sections of the applicant’s form are completed in full and signed by the relevant person the application form is submitted to the Commission by the due date.
Full name
Position title
Agency
Branch/Division
Phone
Postal Address
Postcode:
Applications for both intakes close 5:00pm Friday 11 March 2016
Applications and attached resume should be sent to [email protected] applications will not be accepted. Enquiries may be directed to the Program Manager at [email protected] or on (08) 6552 8604.
Graduate future leaders 2016 Nomination formPage 8 of 8