Civil Society Leadership Development
Complete this form to apply for participation in the Program.
I would like to
participate in the Civil Society Leadership Development
Program in 2016.
Tell us how you meet the four criteria for participating in
1. face challenges in their personal, family, community or social
circumstances for which innovative social solutions are required
(participants must nominate two such challenges)
2. are working with peers and colleagues in a voluntary capacity in
have an interest in acquiring new ideas, approaches, insights and
skills, and learning from others
4. want to exercise leadership in assisting
others in developing solutions.
Tell us how you think you would benefit from participating in this Program:
understand that the Registration Fee is $220.
I will pay this Fee on acceptance into the Program.
pay by EFT
forward a cheque by mail
Please send a tax invoice for payment to:
Social Enterprise Partnerships
ABN: 47 108
Bank of Australia Account name: Social Enterprise Partnerships Ltd
BSB: 062 218 Account number: 1007 2945)
(payable to Social Enterprise
Partnerships Ltd, mail to PO Box 159 Yarraville Vic 3013)
Please tell us
the names and contact details of two referees who will be
able to tell us
how you would benefit from participating in this Program:
0425 722 890