LinC 2019 Application Form
Kia ora - thanks for your application for LinC Incubator or Cultivator 2019 . Any queries please contact us on info@lincproject.org.nz or chris@leadershiplab.co.nz. Cheers
PLEASE NOTE: LINC APPLICATIONS ARE NOW CLOSED - ANY FURTHER APPLICATIONS WILL BE ADDED TO THE WAITLIST

CONTACT AND PERSONAL INFORMATION
Name (first and last name) *
Your answer
Email address *
Your answer
Contact numbers (cell and landline if you have them) *
Your answer
Address *
Your answer
Age (please indicate your age group) *
Ethnicity (please select your ethnicity below) *
Required
Iwi (if you indicated Māori above please tell us your iwi)
APPLICATION SECTION
Which programme are you applying for? *
Why would you like to be involved in the LinC Project Incubator/Cultivator? *
Your answer
What community/ies are you involved with and what role do you have in them? *
Your answer
Are you involved in any organisations that work with communities and what is your role? (e.g. Govt, NGO, philanthropic) *
Your answer
What things/projects/initiatives have you been involved with organising and leading over the last 3 years? *
Your answer
What future ideas do you have for your community? *
Your answer
REFEREES (Please name 2 people from your community or organisation who you have been involved in over the last few years and support you in your community work).
Referee 1 (Please list name, contact email and number) *
Your answer
Referee 2 (Please list name, contact email and number) *
Your answer
Thank you so much for taking the time to complete this application form - we will be back in touch with you after December 6th
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