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Building Future Extension Leaders
Application Form
Email address *
Name *
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Organisation *
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Position/Role *
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Time working in current role *
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Age *
Postal Address *
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Phone number *
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How did you hear about the Building Future extension Leaders Program?
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Places in this program are limited. To help with the selection process, please tell us about your interest in this program and your capacity to apply your learning’s to your workplace and/or industry.
Describe your current role and provide information about the organisation you work for. *
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Describe your role in supporting and/or influencing decision making of South Australian and/or Victorian landholders *
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Outline your work history over the past 5 to 10 years including previous employment, including your roles and any training undertaken *
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Outline why you would like to be involved in this program and what skills and knowledge you expect to gain *
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A copy of your responses will be emailed to the address you provided.
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