Harvard Club of Australia
 

The Clive Gard Leadership Program Scholarship

Application Form
 

 

Applicants Details

Referee's Details
Please name a referee to verify your work experience

* Title   
(Prof, Dr, Mr, Ms)
* Surname   

 

* Initials    * Given Name   

 

Hons    * Organisation   

 

* Given Name    * Position   

 

* Surname    * Email   

 

* Organisation    * Telephone   

 

Division       
* Position       
* School   
 * Degree   

Selection Criteria
Applicant:
(1) Must be a financial member of the Harvard
Club of Australia or the Harvard Club of Victoria.
(2) Is permanently resident in Australia.
(3) Has post graduate qualifications.
(4) Has at least five years work experience.
(5) Is available to attend the program 2018

Please provide in the space below:
(1) Why you seek to attend the Leadership Program
(2) What personal and career development you expect
to obtain by attending.
(3) How do you see yourself contributing to the
ongoing activities of one of the Clubs

* Year   
* Email   
* W-Tel   
* Mobile   
   
* Address A   
Address B   
* Suburb/City   
* State   
* Postcode   


 
 Maximum characters 2000

       



 

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