2024 Leaders for Geelong Application Form

Need more information before you apply? Find out more

For name tags
Click or drag a file to this area to upload.
PDF or Word Document

Program Fees

Program fees will be invoiced if your application is successful. Please provide the invoice contact details below.

Emergency Contact

Personal Details

Leadership Development Questions

These Leadership Development Questions are based on the Four Pillars of the Leaders for Geelong program. Please write 3-5 sentences for each. There are no right or wrong answers, so be honest and base your answers on what YOU hope to gain from joining the program. We look forward to reading your answers and learning what is important to you.

Participant Agreement

Time

The Leaders for Geelong program is an intensive program of learning and will require your commitment and time to complete successfully. The program uses a blended learning approach, and includes live seminars, online events, networking and offsite events around Geelong, as well as trips to Melbourne and Canberra. There is also a Community Project which takes approximately 6 months to complete, with weekly group work required. The unique combination gives participants the chance to apply new Leadership skills and knowledge straight away, delivering a project of real value to the Geelong community and connecting meaningfully with our diverse region. Participants are advised to carefully consider the time commitment outlined below and ensure it will be sustainable for their needs, for the full duration of the program.

    The Leaders for Geelong Program commences in late January 2024 and concludes in December 2024. As a guide, the time commitment and attendance includes:

  • Community Based Action Learning Project – runs for a duration of 6 months ( approx. 4-5 hours of group work per week )
  • Preparation of Reports, Presentations and Assessments ( time varies )
  • Opening Residential Conference (Tues 23 and Wed 24 January 2024. 2 days/1 night)
  • One Strengths Coaching session (1 hour, 1:1 with your Facilitator)
  • Four Full Day Seminars (9am – 5pm)
  • Four Offsite Days around Geelong (9am – 5pm)
  • Four Evening Workshops (5pm – 8pm)
  • Nine Online Masterclasses (1 hour each – optional)
  • Canberra Delegation (2 days/2 nights)
  • Two Team / Group Networking Events (5pm – 8pm)
  • Project Presentation Event (full day)
  • Four Webinars (1.5 hours)
  • Graduation Dinner (Afternoon/Evening event)

Attendance

Participants are required to maintain a minimum attendance of 80% across all core program events. Inability to meet the 80% attendance requirement may result in consultation with the participant’s employer and/or possible release from the program before completion date.

Fees

The fee for the 2024 Leaders for Geelong Program is $8,700 + GST for Corporate and Government participants, and $6,400 + GST for small not-for-profits and self-funded participants. These fees do not include the cost of return flights to Canberra, which participants or their employer/sponsoring organisation will need to purchase separately. This fee is payable in full on acceptance into the program. Participants may not enter the program until the fee is received.

Individuals or organisations with financial barriers should not be discouraged from applying. Contact Karen MacAdie, Community Leadership Manager at karen.macadie@committeeforgeelong.com.au for a confidential discussion about fees and scholarships or payment options if required.

Cancellation/Withdrawal From the Program

All cancellations (and/or subsequent withdrawals from the program) must be advised in writing. Charges for cancellations and withdrawals will be applied.

Withdrawal from the program up until 14 days prior to commencement will be fully refundable. Requests for withdrawal after that time, and prior to the commencement of the program, will be assessed on an individual basis. Available options may include substitution of another participant into the program, transfer to a future program or a partial refund of fees, depending upon the circumstances of the request. Once the program has commenced, substitutions, transfers and refunds are not available

Privacy

The Committee for Geelong is committed to protecting and respecting the privacy of its members, staff and participants by handling all personal information securely and with care in accordance with Australian privacy laws.

Disclosure Statement

Your personal information is collected on this form for the purpose of your participation in the Leaders for Geelong Program. The Committee for Geelong may share your personal information (name, email and work place details) for the purpose of functions, events, programs and initiatives. If you would like to access your personal information held by us or would like to withdraw your consent to share personal information at any time, please email lfg-admin@committeeforgeelong.com.au.

Declaration and Participant Agreement

I declare that the information supplied by me is true and correct. I understand the goals of the program and the time commitment required of a participant in the Leaders for Geelong program. If selected for the program:

  • I agree to act in a respectful, safe and inclusive manner towards all program participants, staff and guests of the program throughout the application, recruitment and program participation phases, and to abide by the behavioural requirements set out in the Handbook which will be provided to me upon entry to the program;
  • I will devote the required time to attendance and personal involvement;
  • I agree that any information and photographs throughout the program may be used for promotion - including the CfG leadership programs and associated websites;
  • I consent to have my email address shared amongst participants;
  • I understand that as a Leaders for Geelong Alumni, beyond the program, I commit to increased involvement and leadership in the community;
  • I confirm that I have spoken to, and gained approval from my employer to participate in the program, including any fees payable by them for my place in the program, and the time commitment, including absences from work that will be required; and
  • I confirm that I understand and agree to the conditions outlined.
Click or drag a file to this area to upload.
Please upload a PDF / JPEG of your signature