Apply for Future Shapers

Future Shapers Application

Application form for participation in Future Shapers Program 2018

Your name * Required
Your email address * Required
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.
8+1 = * 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
I am applying to attend * Required
- commencing 14 May in Sydney
- commending 3 September in Canberra
- either program
please indicate which Future Shapers 2019 program you are applying for
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 12 month program. I commit to doing all elements of the program. I can attend the intensive workshop in Sydney in May 2019, or Canberra in September 2019.* I will do all reading and homework
Sponsorship / funding * Required
The Future Shapers is a comprehensive program valued at $12,000 AUD. Please note you are responsible for ensuring that your costs and 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 sponsorship from your employer or government. Please indicate how you will fund your participation.
- I will fund my participation including all personal accomodation, travel and disability costs
- I will seek sponsorship from my employer
- I will seek sponsorship from my government
- Other Other
*Accessibility requirements
Please note: your disability access requirements should not prevent you from applying. Please contact us if you have any questions. We recognise that some people are unable to travel due to their disability and we are committed to ensuring that you can still participate in the Future Shapers. Please contact us to discuss.