Chemistry Australia Leadership Institute

Emerging Leaders Advisory Council and Chemistry Australia Leadership Development Institute

Application form

Please accept my application for the Chemistry Australia Leadership Institute (CALI). If successful, I agree to participate in all aspects of the program, including any formal training and work to fulfill my obligations as a member of the Emerging Leaders Advisory Council, as outlined in the ELAC Charter.

APPLICANT INFORMATION

Applicant Details

Full Name *

Company *

Position *

Email Address *

Mobile Number *

Signature *

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Date *

Approved by CEO*

CEO Signature *

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*CEO/MD/Country Manager/Parter/Other Authorised Officer

Please explain why you are interested in joining the ELAC (Max 400 words): *

Please explain what you believe you can contribute to the ELAC (Max 400 words): *

Please explain what you see as the top issues that are critical to the future growth and investment of the industry (Max. 400 words): *

Please complete this form and attach any supporting information such as your CV, application cover letter, or a letter from your sponsor. *

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Please upload any supporting documentation in this section.