Growing Leaders 2025 – Application Form

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admin@affectusaus.com.au

GROWING LEADERS

National Vegetable Industry Leadership Program

2024 APPLICATION FORM

Applications Close COB February 7 2025

Please note that

The application selection process will be competitive
The applicant status as a industry levy payer will be checked
The applicant endorse will be contacted

Name*
First Last
Preferred Name*
First
Address - Street Name and Number OR PO Box
City/Town*
Postcode*
State*
Email*
Mobile*
Work Phone*
Facebook Name and URL*
Linkedin Name and URL
Twitter and/or Instagram
Current Employer/Business Name*
Applicants current workplace position/Job Title*
Invoicing Information - Read the information below.*
If you are accepted into Growing Leaders 2025 and are a supply chain participant you will be required to pay program fees and additional travel and accommodation costs. Please provide the following details1. For a Business Invoice * Business Name; * ABN; * Contact Person for Invoicing - Name, Email and Phone No.2. For Individual Invoicing * Name of the Person for Invoicing *Email *Phone No.
How did you hear about the Growing Leaders?*
To which sector of the Australian vegetable/horticulture industry/community do you belong?*
How long have you been involved in the vegetable/horticulture industry/community?*
Do you have any relevant training/qualifications? (eg Cert. Business Management, Degree etc)?*
Outline any leadership training you have had?*
What have been your major achievements - within or beyond the vegetable/horticulture industry / community?*
What current roles and/or responsibilities do you hold in the vegetable/horticulture industry or your community?*
Why are you applying for Growing Leaders 2025?*
What is your vision for the vegetable industry/community?*
No more than 30 words
During Growing Leaders participants undertake a group industry “mission” (like a project). Tell us how YOU will work with other participants to ensure the Mission is delivered to the industry by the end of the program?*
No more than 30 words.
Endorser Name - We request that you seek someone who knows you and is willing to endorse your nomination. We will contact them about your endorsement. Please provide us with your endorsers details.*
First Last
Endorser Organisation/Business/Company*
Endorser Address*
Endorser City/Town*
Endorser State*
Endorser Postcode*
Endorser Email*
Endorser Mobile*
My endorser has agreed to endorse my application for Growing Leaders*
I am a supply-chain participant. As a supply-chain participant for Growing Leaders, I understand that I will be responsible payment of participant fees ($1895.00 GST Ex) plus accommodation, travel and sundry costs. Please indicate your agreement - yes or no*
I am a levy paying grower. I a levy-payer participant for Growing Leaders, I understand that I will be responsible for travel and sundry costs. Please indicate your agreement - yes or not*
Consent - By entering your name in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate to the best of your knowledge and that you are consenting that the information provided can be used for the purpose of Growing Leaders participant selection and other activities connected to Growing Leaders.*
Name
This field is for validation purposes and should be left unchanged.

This project has been funded by Hort Innovation, using the vegetable and onion research and development levies and contributions from the Australian Government. Hort Innovation is the grower-owned, not-for-profit research and development corporation for Australian horticulture.

GROWING LEADERS

National Vegetable Industry Leadership Program

2024 APPLICATION FORM

Applications Close COB February 7 2025

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