LeaderShift Application Form

We recommend preparing your responses in a Word document or notepad before copying and pasting into this form. You will NOT be able to save this form as you go.

If required, applications can be submitted use a word document version of the application form and emailed to josh@tna.org.au. Video applications which address the questions are also accepted.

 

LeaderShift Application

"*" indicates required fields

Name*
State*
Please select the state where you live or spend the majority of your time.
Do you identify as any of the following?*
Tick all that apply. You will need to identify with at least one of the below to be eligible for the program.

You must have a salaried role within an organisation to be eligible.
e.g. 3 days a week is 0.6 FTE.
Name of your Organisation's CEO (or for large organisations, head of your department)*
Have you spoken with your organisation about participating in this program, and have they indicated that they can commit to what is outlined?*

Max 150 words
Max 150 words
Max 150 words
Max 150 words
Alternatively, you are able to submit a URL link, e.g. to your LinkedIn profile below.
Accepted file types: pdf, doc, docx, Max. file size: 128 MB.