Fillable MINATION FORMMARCUS OLDHAM RURAL LEADERSHIP PROGRAM (Marcus Oldham College)

Fill Online, Printable, Fillable, Blank MINATION FORMMARCUS OLDHAM RURAL LEADERSHIP PROGRAM (Marcus Oldham College) Form

Use Fill to complete blank online MARCUS OLDHAM COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

MINATION FORMMARCUS OLDHAM RURAL LEADERSHIP PROGRAM (Marcus Oldham College)

On average this form takes 33 minutes to complete

The MINATION FORMMARCUS OLDHAM RURAL LEADERSHIP PROGRAM (Marcus Oldham College) form is 7 pages long and contains:

  • 0 signatures
  • 12 check-boxes
  • 126 other fields

Country of origin: AUSTRALIA
File type: PDF

Australia forms for Marcus Oldham College

BROWSE MARCUS OLDHAM COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
1 |
TIRMNO
Office Use Only
MINATION FORMMARCUS OLDHAM RURAL LEADERSHIP PROGRAM
MARCUS OLDHAM RURAL LEADERSHIP PROGRAM
Sunday 5
th
September to Friday 10
th
September 2021
Early Bird by Friday 30
th
April $2,800.00
$3,300.00
I AM SPONSORED BY: __________________________________________________________ (Details below)
F
ull fee after 30
th
April
I AM SELF SUPPORTED
PERSONAL DETAILS - Please print your details clearly
Surname
First Name
Preferred Name
(for your name tag)
Address
Suburb
State
Postcode
Mobile
Work Ph
Email
Age
M F
NAME OF SPONSORING ORGANISATION OR SOURCE OF FUNDS
Please provide details of the business, industry organisation, Government funding program or scholarship that will fund your
participation, either partially or fully, to enable invoices to be raised to the correct entity.
If self-funded, please enter “SELF” in the Company Name field and ignore the other fields.
Company Name
ABN
Contact Name
Position
Address
Suburb
State
Postcode
Phone
Email
MAJOR RURAL ACTIVITIES: Please indicate which industries you are involved in
Agribusiness Dairy
Banking Grain
Beef
Horticulture
Consulting
Lamb
Cotton
Wool
2 |
EMPLOYMENT
Position
Service (Years)
Company
Address
(or write ‘as on previous page’ if same as sponsor)
City
State
Postcode
Email
Work phone
Previous Employment
Position
Company
Responsibilities
Position
Company
Responsibilities
Position
Company
Responsibilities
FORMAL EDUCATIONAL HISTORY
3 |
CURRENT AND POTENTIAL LEADERSHIP ROLES:
Please list here any current leadership roles you fulfil within your community, business or industry.
Also, list any other leadership roles you may like to fulfil in the future.
GENERAL INFORMATION:
Please list your hobbies, community and recreational interests
Please list your hobbies, community and/or recreational interests
TWO PERSONAL REFEREES
Name
Relationship
Tel (BH)
Mobile
Name
Relationship
Tel (BH)
Mobile
4 |
AGRICULTURE – WHICH WAY NEXT?
Please set out what you would like to achieve as a leader in agriculture (250 words or less / attach extra pages if
insufficient space)
5 |
APPLICATION AND PAYMENT:
The program fee includes:
Accommodation on campus at Marcus Oldham
All meals from Sunday evening to Friday lunchtime
Tuition and Program notes
Early Bird Discount:
An early bird discount of $500 will be applied to all applications received by Friday 30
th
April, reducing
the program fee to $2,800 (incl. GST).
Applications received after Friday 30
th
April, will be at the full fee of $3,300.
Successful applicants will be notified before or by Monday 2
nd
August 2020.
PAYMENT - please nominate your payment method:
A cheque is enclosed with this nomination form for :
$2,800 Early Bird (by 30
th
April)
$3,300 Full fee (after 30
th
April)
Please c
harge the VISA or MASTERCARD details below
EXPIRY _____ / _____ CCV ________ NAME ON CARD ____________________________________________
Direct
Debit. BSB 013-523
Account 2538 603 16
Marcus Oldham College
To identify your payment please remember to:
include your surname and the words MORLP 2021
send an email to leadership@marcusoldham.vic.edu.au advising that you have paid by Direct Debit.
I understand that if I am unsuccessful I will receive a full refund.
Signed: _
_____________________________________________ Date: __________________
Please forward your application form and payment to:
Emily Van Es
Rural Leadership Program
Marcus Oldham College
Private Bag 116, GEELONG MAIL CENTRE VIC 3221 leadership@marcusoldham.vic.edu.au
Program Enquiries: David Cornish, 03 5247 2965 cornish@marcusoldham.vic.edu.au
Admin Enquiries: Emily Van Es, 03 5247 2901 leadership@marcusoldham.vic.edu.au
www.marcusoldham.vic.edu.au
6 |
Getting Here
Avalon Airport is closest to Marcus Oldham
Please allow enough time to arrive and get to Marcus for the program start on Sunday 5
th
September at 2:00pm
From Tullamarine Airport
Total travel
time approx.
2 ½ hrs
Skybus from airport to Southern Cross Station, Melbourne
www.skybus.com.au
V/Line train from Southern Cross to Waurn Ponds Station
V/Line trains
Taxi from Waurn Ponds station to Marcus Oldham
Geelong Taxi
1 ½ hrs
Gull shuttle bus from airport to Geelong train station
Gull Shuttle Bus
Taxi from Waurn Ponds station to Marcus Oldham
Geelong Taxi
1 hr 20m
VHA Limo – driver picks you up from airport
So
me participants used this service last year and were very happy.
You or your company can pay cash on the day or be invoiced.
Pi
ck up from Tullamarine or Avalon.
Contact Andy at VHA Limo
andylimo591@gmail.com
From Avalon Airport
40 min Skybus to Geelong Station
Taxi to Marcus Oldham
www.skybus.com.au
Geelong Taxi
25 min
VHA Limo to Marcus Oldham
Contact Andy at VHA Limo
andylimo591@gmail.com
25 min
Taxi from Avalon to Marcus Geelong Taxi
Ca
r hire: You do not need a car for the week that you are on campus at Marcus.
7 |
Marcus Oldham Rural Leadership Program 2021
If you have any dietary, learning, physical mobility or other individual requirements that we may be able to
assist you with, please let us know:
Name:
Dietary requirements:
Please advise of any food allergies or individual dietary requirements
Other requirements:
Learning, visual, physical mobility that you consider may impact on your learning
Individual requirements
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

MINATION FORMMARCUS OLDHAM RURAL LEADERSHIP PROGRAM (Marcus Oldham College)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 4 February 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document