Community Leadership Program 2023 Application Form By lodging this Application Form you are agreeing to the Community Leadership Program's Terms & Conditions. First Name Family Name Organisation Job Title Service, Team or Department Name (if applicable) Work Address Home Address Email Please enter the email address that it is best to contact you on Mobile Number Manager's Name Manager's Job Title Manager's Email Manager's Phone Number How long have you been in this or similar roles? Please give a brief description of your current work role Do you have staff reporting to you, and if so how many? What are the internal and external stakeholders that you potentially influence in your job role? What has attracted you to apply for the Community Leadership Program and what do you hope to gain from the Program? What are your current professional goals? How did you hear about ACWA's Community Leadership Program ACWA What's New e-News CCWT Training Handbook Direct Email Manager A Past Participant Brochure or Flyer Other Is there any further information that you wish to share to support your Expression of Interest? What do you see as some of the experiences/strengths that you bring to the Community Leadership Program? Submit
