Youth, Skilling and Excelling Leaders APPLICATION FORM 2014
Cape York Leadership Program The Cape York Leadership Program offers four targeted phases that aim to build the leadership capabilities of members at various skill levels and stages of life. Our vision is for our members to maximise their talents to achieve their full potential, and have the confidence to build their capabilities and achieve their goals. Our program motto is dream more, learn more, be more. We value all of our leaders for the contribution they make whether this is confined to their families, work places, communities or practiced in all areas of their life. For this reason, we have adopted a four phase strategy that builds skills based on leadership context and experience and provides members with the option to either complete their leadership education within a single phase or continue to grow through other phases. Natural Leadership is the power of self-determination and informal recognition of its inspiration and influence over fellow citizens. Natural Leaders can be found in families, community groups and in the full range of informal social, cultural, religious settings. Unlike Structural Leaders, they depend on no formal institutional power or recognition. Natural Leadership is something that potentially all people can demonstrate. Rather than thinking about community engagement, we should instead be thinking about how we can promote, motivate and support Natural Leadership. Let s develop Natural Leadership. Noel Pearson, Director Cape York Institute 2 Application Form 2014 Youth, Skilling and excelling leaders
About the Youth, Skilling and Excelling Leaders Program As a Youth, Skilling and Excelling Leader you will be supported to participate in and complete a combination of accredited and non-accredited training courses designed to develop your leadership and mentoring capabilities, gain employable skills and knowledge for you to achieve your personal and professional goals, and to enhance your journey as a Cape York Leader. The table below provides an overview of the training courses offered across each Leadership Phase. Program May 2014 November 2015 Youth Leaders Skilling Leaders Stream A Skilling Leaders Stream B Excelling Leaders Natural Leaders Workshop 2 days May 2014 Natural Leaders Workshop 2 days May 2014 Natural Leaders Workshop 2 days May 2014 Advanced Leadership June 2014 Leadership and Communication Skills July 2014 Certificate II Business 3 X 4 day workshops October 2014 April 2015 July 2015 Careers Skills Workshop July 2015 Leadership Foundations August 2014 Certificate III Micro Business Operations 3 X 4 day workshops November 2014 March 2015 June 2015 Leadership Skills July 2014 Communication Skills October 2014 Business Skills February 2015 Leadership Modules 3 x 3 day workshops October 2014 March 2015 July 2015 Mentoring Training 2 days October 2015 Work Experience Placement November 2015 Community Leadership September 2015 Progress to Skilling Leaders Stream A May 2015 Advanced Leadership November 2015 Delivery Method All Youth, Skilling and Excelling leadership training and mentoring workshops are delivered in residential blocks in Cairns. Important Note: To obtain the qualifications, you must successfully complete the competency units. Assessment Assessment consists of written tasks, role plays, group work, research and mini presentations, all completed during residential blocks. 3 Application Form 2014 Youth, Skilling and excelling leaders
How to Apply Step 1: Complete and submit this Application Form by FRIDAY 11th APRIL 2014 Step 2: You can lodge your application to: Post: Cape York Leaders Program PO Box 3099 cairns, QLD 4870 e-mail: info@cyi.org.au Fax: (07) 4046 0601 YOU WILL BE NOTIFIED OF THE OUTCOME OF YOUR APPLICATION BY 30TH APRIL 2014 Application Process Within 7 days the Cape York Leaders Program staff will acknowledge receipt of your application by email or text message and advise you of anything else required to assist in considering the application. Your application is then assessed against the following criteria: a. Your Application is fully completed; b. You and/or your family are connected to Cape York, Palm Island or Yarrabah community; c. You agree to the program s Leadership Expectations and d. You have the desire to be a leader; If you meet the criteria above, your application is put forth to the Cape York Leaders Program Steering Committee. Cape York Leaders Program Steering Committee meets to review and discuss applications and provides recommendations to the Cape York Leaders Program staff. You will be notified about the outcome of your application by a Cape York Leaders Program staff member via email or mail. Successful applicants must be active members of the Cape York Leaders Program. Application Checklist Applications will be processed upon receipt of the documentation listed below. Please tick the adjacent box to indicate inclusion of items listed: Completed Application Form Two Written Referee Reports completed (for Excelling Leaders Only) Leadership Expectations Form signed and dated by the applicant 4 Application Form 2014 Youth, Skilling and excelling leaders
Please indicate the Leadership Phase you wish to apply to: Please Note: While you are nominating for a Leadership Phase the Cape York Leaders Program Steering Committee may recommend another phase for you, based on your skills and experience. If this applies, you will be contacted to discuss this further. Youth Leaders Equips young people aged 18 to 24 with the confidence and skills required to enter and progress within the workforce and to reach their professional and personal goals. Skilling Leaders Assists people aged 25 and over to develop their managerial, business and leadership skills to apply to themselves and in their home, workforce and community. Excelling Leaders Supports high-calibre emerging leaders to excel in their personal, professional and economic growth ambitions using a sophisticated and accelerated approach to leadership. (If you selected this Phase, you will need to provide Referees. Please go to Pages 8 and 9 to complete the Referees Reports) Please provide a brief description of why you chose this phase (for example: I want to start my own business) What Skills, Knowledge or Qualities do you want to improve and develop to become the type of leader you want to be? Describe a Leadership Role you have been involved in and the tasks you performed. (This could be in the community, at school, playing sport, at home) 5 Application Form 2014 Youth, Skilling and excelling leaders
Applicant details SECTION A PERSONAL DETAILS TITLE Mr Mrs Ms Miss Other DATE OF BIRTH FIRST NAME SURNAME PREFERRED NAME GENDER MARITAL STATUS DEPENDENT CHILDREN Male Married De-Facto Do you have dependent children? Yes No Female Single Other If yes, how many dependent children? HOME ADRESS SUBURB POST CODE PHONE MOBILE EMAIL ADDRESS SECTION B EMERGENCY CONTACT DETAILS NAME RELATIONSHIP PHONE Home: Work: Mobile: EMAIL ADDRESS SECTION C EMPLOYMENT / WORK EXPERIENCE Current / Previous Employer (if applicable) Your Position Employer Organisation Describe or list the tasks you performed in this position? Supervisor / Manager Contact Details NAME POSITION PHONE Work: Mobile: EMAIL ADDRESS 6 Application Form 2014 Youth, Skilling and excelling leaders
SECTION D HIGH SCHOOL DETAILS Name of High School you last attended Highest year completed? (e.g. Year 10) EDUCATION and TRAINING State/Territory Year you last attended high school or Graduated? TRAINING and QUALIFICATIONS Highest Formal Bachelor Degree or above Advanced Diploma Diploma Certificate IV Qualification you have attained Certificate III Certificate II Certificate I No Formal Qualification Do you hold a Trade Qualifications (i.e. Forklift Licence, Construction White Card) Do you hold any current positive Trade Qualifications? Blue Card Notice? QLD VIC TAS WA NSW ACT SA NT Yes No Yes No (if Yes please list the qualifications) ON THE JOB TRAINING (Please tick if you have completed any of the following on the job training courses) Senior First Aid Mentoring/Preceptor Training Occupational First Aid Project Management Certificate IV in Training and Assessment Occupational Health and Safety SECTION E HOW DID YOU HEAR ABOUT THE CAPE YORK LEADERS PROGRAM Website Past Participant Newspaper Social Media, Email, Facebook, Twitter Radio Friend / Family Member Other: (Please provide brief details) 7 Application Form 2014 Youth, Skilling and excelling leaders
Excelling Leaders Phase ONLY Referees fill in this section if you applied to the Excelling Leaders Phase Excelling Leaders need to choose two referees and ask them to complete this on your behalf and return with your completed application. Please note that one referee MUST NOT be related to you. CYLP will contact your referees if further information is required. Written Referee 1 REFEREES NAME EXCELLING LEADERS PHASE ONLY ADDRESS POST CODE STATE PHONE Home: Work: Mobile: EMAIL Relationship to Applicant What leadership potential does the candidate have? Why are you recommending them to the Cape York Leaders Program? 8 Application Form 2014 Youth, Skilling and excelling leaders
Written Referee 2 REFEREES NAME EXCELLING LEADERS PHASE ONLY ADDRESS POST CODE STATE PHONE Home: Work: Mobile: EMAIL Relationship to Applicant What leadership potential does the candidate have? Why are you recommending them to the Cape York Leaders Program? 9 Application Form 2014 Youth, Skilling and excelling leaders
Leadership Expectations If you are selected to become a member of the Cape York Leaders Program there will be considerable resources expended in assisting you to achieve your personal and professional goals. Your selection is based on the belief that you have the potential to make important contributions to the wider work of economic and social reform in Cape York communities through your sphere of influence. You will have the privilege of receiving training from national and international experts covering many aspects of leadership. In order to gain the maximum benefit from your 2014 membership, we require your commitment, active engagement with the program, and agreement to support the principles that underpin Cape York Leadership Program. In consideration of the Cape York Leaders Program we ask you to accept, undertake, agree and consent to the following: I will be an active participant and become an advocate of the Cape York Agenda; I agree to support the principles on which the Cape York Leadership Program is based I will have the self-belief to face challenges and follow my goals I agree to take responsibility, contribute positively and encourage others to succeed I will have pride in my work and lead by example and be driven to achieve I will be a role model and connect with others to influence change I will be a Natural Leader and seek to gain the necessary skills to be a better Natural Leader I understand and support the above statements and wish to lodge an application to be a member of the Cape York Leaders Program. I have read the above Leadership Expectations and understand that there may be consequences such as dismissal from the program if I choose not to comply. I certify the information contained in this form and the answers to the questions provided are true and accurate. Failure to disclose any relevant details may cause an offer of acceptance to the program to be withdrawn or continuation with the program to be cancelled. Name: Signature: Date: 10 Application Form 2014 Youth, Skilling and excelling leaders