Enrol in the Future Shapers

Future Shapers Enrolment

Enrolment form for participation in Future Shapers Program 2025

Your name * Required
Your email address * Required
Repeat your email address * Required
Today's date - must be mm/dd/yyyy format * Required
Date Format: MM slash DD slash YYYY
Your phone number * Required
We mainly use email or zoom, but need a phone number in case you are unable to be contacted. Don't forget country & area code.
7 + 6 = * Required
So we know you aren't a robot
I am a person with disability * Required
- No
- Yes
What country, state, and town do you live in? * Required
My key achievement is: * Required
please keep to a short paragraph.
Why do you describe yourself as a leader? * Required
Are you a change maker? * Required
How have you achieved change? Did you work alone or with others? What strategies did you use?
What are your leadership goals or outcomes? * Required
What would you like to achieve in the next 3 years?
Why do you want to become a Future Shaper?
short paragraph on why this is the right opportunity for you.
Your commitment * Required
Please agree to the following:
- I understand that this is a rigorous year long program, including attendance at regular sessions, reading and participation in coaching and group sessions. I commit to doing all elements of the program. I will do all reading and homework.
Intensive Workshop location for 2025 * Required
We are considering returning to a 3 day in person intensive workshop in Canberra to commence the Future Shapers program in February. Please indicate your preference / ability to attend. Note: you are responsible for all travel and accommodation costs.
- Please keep it virtual
- I would prefer in person for the intensive workshop
- I don't mind either way
Program fee * Required
The Future Shapers is a comprehensive program valued at $9,950 AUD +GST. Please note you are responsible for ensuring that your program fee will be covered. The DLI is unable to assist you with covering the costs of the program. We strongly encourage you to seek funding support from your employer or government. Please indicate how you will fund your participation. PLEASE OBTAIN FUNDING APPROVAL BEFORE ANSWERING THIS QUESTION.
- I will fund my participation including all disability costs
- I have funding support from my employer
- I have funding support from my government
*Accessibility requirements
Please note: your disability access requirements should not prevent you from enrolling. Please contact us if you have any questions. The DLI currently runs the intensive workshop virtually, as with all other elements of the program. This means you will need access to a reliable device and fast internet to be able to participate in the program.