Impactful Futures Immersive Study Tour Application Form_Cape York 2023

Impactful Futures Immersive Study Tours
Cape York, 1st -7th July 2023

Participant Application Form

Join the Impactful Futures Immersive Study Tour in Cape York, to develop skills that enable you to be a future-fit professional, and become a powerful enabler for local community organisations to achieve positive social impact!

Please refer to the participant selection criteria, inclusions/exclusions and program and participation requirements here.

Name*

First Name

Last Name

Preferred Name

Email*

Contact Number*

Gender*

Male Prefer not to say Non-binary Female Gender (self described)

If "Gender (self described)" is selected, please complete field below.

Gender (self described)

Are you Aboriginal and/or Torres Strait Islander origin?*

Yes - Torres Strait Islander Prefer not to say No Yes - Aboriginal Yes - Both

Do you identify as a person with disability?*

If you identify as a person with a disability, please let us know if there are any additional actions we can take to support you during the program.

Please confirm you have several years of professional experience (post-grad) in a relevant field?*

Yes No

Refer to the participant information document at the top of this page for more detail. Please include information regarding your experience in your CV.

Your professional discipline/areas of expertise*

Please describe your motivation to be a participant on the Impactful Futures Immersive Study Tour.*

Please describe what strengths you think you could bring to the program?*

Please describe any experience you have in any of the following: working within or leading groups in challenging environments, working cross culturally or in First Nations contexts. *

Please upload a recent copy of your CV (max. 3 pages)*

No File Chosen

File uploads may not work on some mobile devices.

Please include a 1-page cover letter (in the same file) addressing the selection criteria listed in the participant information document at the top of this form

Please acknowledge that you have read, understand and accept the Program Participant Information and Requirements.*

Yes No

The Intensive has a pre-departure component (approx. 3 hrs) that is a pre-requisite for participation in the program. Refer to the participant information document at the top of this form.

How did you find out about this program?*

Email Facebook Linkedin Word of mouth Google Search Workplace

Other:

Is there any other information you'd like to provide?