Leadership Wimmera 
 

Application Form

Welcome to the Leadership Wimmera Application Process.

This online form has 10 Pages - but don't worry, they are only small pages! The information you will need to fill out this form consists of the following:

Page 1
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Your personal contact details
Page 2
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Current employment contact details (if applicable)
Page 3
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What courses you are interested in from Leadership Wimmera, and your hobbies
Page 4
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Past employer's details (if applicable)
Page 5
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Activities / Organisations that you belong to, as well as your community interests
Page 6
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Any education / training that you have undertaken
Page 7
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Some miscellaneous questions about you
Page 8
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Employer / Sponsor support information - we will need to contact your employer / sponsor
Page 9
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Contact information for two (2) referees who are knowledgable about your leadership potential
Page10
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Personal Commitment Agreement

Major Sponsors

Sponsors - Bendigo Bank, Victorian Government
MixxFM, 3WM, The Weekly Advertiser

  Leadership Wimmera
62 DARLOT ST HORSHAM 3400
PHONE (03) 5381 1744 FACSIMILE (03) 5381 1745
EMAIL abothe@wda.org.au