2024 Emerging Leaders Program Online Application Form

Please note: This program accepts applications from individuals living in, or with a connection to the following LGAs: Alpine, Alpine Resorts, Indigo, Mansfield, Towong, Wangaratta & Wodonga. Please see below for more details.

Are you ready to transform your leadership potential and create impact in your community? AVCL invites young people aged 18-30 to join our immersive 4-day leadership development program, designed to elevate your personal leadership capacity, enhance your skills, and expand your networks.

The program will be delivered by Anthony and Mel Nicholson from The Mandala Project. It will run in Yackandandah over 4 consecutive days (including overnight stays), from Thursday 7th – Sunday 10th November 2024.

The program will challenge participants and utilise an experiential approach, exploring:

Leadership Fundamentals: Gain a solid foundation in the core principles of effective leadership.
Understanding Group-Based Dynamics: Learn to navigate and lead within group settings.
Community Resilience: Explore strategies for building strong, resilient communities.
Creating Networks: Connect with like-minded individuals and create a robust professional network.
Mental Health, Personal Resilience, and Well-Being: Prioritise your mental health and well-being while increasing your understanding of personal resilience.
Community Leadership in Action: See leadership principles in practice within community settings.
Reflection: Engage in reflective practices to deepen your learning experience.
Public Speaking: Hone your public speaking skills to inspire and lead others.

Join us for this transformative experience and learn more about the leader you’d like to be.

Cost: $100
Ages: 18 – 30
Living in, or with a connection to (through leisure, participation, work, schooling etc) the following LGAs: Alpine, Alpine Resorts (including the Falls Creek Mount Hotham Mount Buller and Mount Stirling alpine resort areas only), Indigo, Mansfield, Towong, Wangaratta, Wodonga.
Interest in developing personal leadership capacity.
Commitment to attend all four days and three nights.

Personal Information

Name*

First

Last

Preferred Name

Date of Birth*

Preferred Pronouns*

* Gender pronouns are the terms people choose to refer to themselves that reflect their gender identity. These might be he/him, she/her or gender-neutral pronouns such as they/them.

Home Address*

Street Address Address Line 2 City State Postal Code

Mobile Phone*

Home Phone

Email*

Spoken Languages*

Emergency Contact Name and Relationship*

Emergency Contact Phone Number*

Do you identify as Aboriginal or Torres Strait Islander?*

Yes
No

Do you identify as a person with a disability?*

Yes
No

Do you identify as a recent migrant?*

Yes
No

AVCL endorses equal opportunity in program participation; we provide the same benefits and opportunities to all applicants, without discriminating due to protected characteristics such as age, gender, sexual orientation, ethnicity, nationality, religion, disability, and medical history. AVCL aims to promote participation in the program on an equitable basis, and will accommodate any participants as necessary to ensure their inclusion in the program. We encourage applications from first nations peoples, those who are CALD, living with a disability, or of any other minority group.

1. What has motivated you to apply for this Program / what would you like to gain through the experience?*

3. Do you have any medical conditions, concerns, and/or needs including accessibility needs?*

4. Do you have any dietary requirements? If yes, please specify:

Please select program T-shirt size:*

How did you hear about the program?*

Applicant Commitment*

I understand the time commitment of the program.
If selected, I will attend the program in full, being 4 days and 3 nights (please include information in this application if you are aware that you will not be able to attend all days.)
I agree to complete the required pre-program and post-program surveys
I will come with a respect for all my fellow participants and contribute to making a safe and inclusive learning environment.
I give permission to be photographed and for photos to be used for media and promotional activities, including but not limited to by AVCL and other funding partners.

Applicant Signature*

Date*

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2024 Emerging Leaders Online Application Form

Personal Information