Women in Leadership Development Program - Expression of Interest form
Thank you for your interest in being involved in the Women in Leadership Development program. So that we can capture your interest and details, please complete this form and press submit at the end and we will be in touch.
Please note: This is just an Expression of Interest, the formal application process is separate to this.
Thank you again for your interest in being involved.
First and last name
Phone number: Mobile and work phone number please:
Which of our programs are you interested in?
Online Program 2021
Central Coast 2022
Tamworth / New England 2022
Current Workplace - (if applicable)
What do you do there?
Are you of Aboriginal or Torres Strait Islander heritage?
Would you consider yourself to have come from a disadvantaged background?
Can we ask what position are you interested in?
Participant - open to women in pre to middle management
Mentor - open to women and men who are, or have been in senior leadership roles
I'm interested in knowing more about both Participant and Mentor roles
I'm interested in becoming a Sponsor to support disadvantaged or Indigenous women
I'm interested in involving my Employees in future programs for professional development
How did you hear about our Women's Leadership Mentoring program?
Word of mouth
Social Media ie:facebook, LinkedIn etc
Referral from an existing Participant or Mentor
We'd love to stay in touch. Would you like to be added as a subscriber? (We promise not to clog up your inbox)
Yes please, I would like to stay in touch
No thank you
Is there anything else you would like us to know?
Send me a copy of my responses.
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