Future Leaders Program 2016 Application Form Applications open: 7 September 2015 Applications close: 27 September 2015 Overview The Future Leaders Program is designed to identify and cultivate the science leaders of the future. As a participant, you will be given opportunities to: gain a deeper understanding of your leadership style and harness your leadership potential through skills training and team-building activities; engage with the broader community by putting leadership into practice; foster your personal and professional networks through engagement with your peers, senior members of the Faculty and University, as well as leaders in science, industry and the broader community; develop and challenge yourself. To complete the program, you will need to commit to: Attending a 3-day residential in Alexandra from 16 to 18 February 2016 inclusive; Attending 4 evening leadership seminars held during the year; Attending 2 leadership workshops during each of the two semester breaks; Participating in minimum 30 hours of self-selected leadership activities within the university, profession, and/or wider community during the year; Attending the celebration dinner at the end of the program held in November. Selection will be based on the following: past contribution to, and involvement in, university/community activities; satisfactory academic performance; student responses to selection questions in the application form; and interview (if required) for short-listed applicants only. Selection Process Timeline 1. Applications open 7 September 2015 2. Applications close 27 September 2015 3. Applicants short listed and notified by 9 October 2015 4. Interviews (if required) during week commencing 12 October 2015 5. Applicant notified of outcome by 25 October 2015 Exclusions To qualify for the program, you must be enrolled in the second year of a science degree in 2016, including cross-faculty double degrees (but excluding BSc Advanced Global Challenges). You are welcome to apply for Ancora Imparo but if you are accepted into the Future Leaders Program, you must elect to do one or the other (i.e. you cannot do both). Other information Further details about the program can be located at the following website: http://monash.edu/science/current/future-leaders-program/ Further clarification about the selection process can be obtained by emailing sci-futureleaders@monash.edu Instruction to applicants Please type your responses in the fields provided Receipt of application will be sent to your Monash student email address Email your completed application to sci-futureleaders@monash.edu Personal details Name Student number Title (Miss/Mr/Mrs/Ms/Other) Given name Family name Preferred name Home address No./Street Suburb/City State Postcode Personal information Date of birth Gender Home phone Mobile University email address Have you/are you applying to participate in ancora imparo? Y/N I hereby give permission for the Future Leaders Program to access my student record to determine my eligibility for this program. More information about you 1. What are your thoughts and views about leadership? (Note: there are no right or wrong answers. Be yourself. Don’t quote a book.) 500 words max 2. Describe any experiences you have had that give evidence of your leadership potential 500 words max 3. What personal qualities or experiences would you bring to this program? 500 words max 4. List and describe any relevant awards you have received and/or your involvement in any associations, memberships, community organisations/activities (e.g. Monash leadership program, club or society; community association; volunteer organisation; artistic group; sporting club; youth organisation or non academic pursuits that you feel add strength to your application. Please note you may be asked to provide evidence at your interview). Organisation Year Position Held Description of activity/award/involvement 5. Upload a reference letter (1 page max.) from one personal referee. This person can be a lecturer, employer, long term family friend, sports coach, or any other person who can tell us about you and your character.