Lead the Way registration form Question Title * 1. What is your first name? Question Title * 2. What is your last name? Question Title * 3. What is your gender? Female Male Other (specify) Question Title * 4. What is your email? Question Title * 5. What is your phone number? Question Title * 6. Please indicate your residential address Question Title * 7. Do you drive? Yes No Question Title * 8. What is your date of birth? If you are under 18, we will need to get your Parent/Guardian support & consent Date Question Title * 9. What is your country of birth? Question Title * 10. If you were not born here, how long have you lived in Australia for? Question Title * 11. What languages do you speak? Native language Language 2 Language 3 Additional Languages Question Title * 12. What cultural background do you identify with? Question Title * 13. What is your English level? I am a native English speaker I am fluent in English and can do public speaking with confidence I am good but need more confidence in some areas I am OK with English but struggle a little bit sometimes Not so good but i am improving! Question Title * 14. What is your current situation? At school Study Work School + work (including volunteering) Study + work (including volunteering) Please give us more details (school's name, full-time/part-time work, organisation...) Question Title * 15. If you are selected, you will need to attend 10 mandatory workshops on a fortnightly basis from July to October. If yes, What day and time will suit you best? Please rank from 1 to 4 (1 being the best option for you) Question Title * 16. At the end of the program, as a team you will be asked to plan and deliver a youth community event to share your knowledge and learning. More meetings and catch-up in November and December will take place and you will receive a small financial contribution for your involvement.Is this something you are interested? Hell Yes! Why not No thanks Other (please specify) Question Title * 17. How did you find out about the Lead the Way program? Social Media MCCGC staff and volunteers Family and/or friend School Flyer Local community organisation Other (please specify) Question Title * 18. What are the qualities that you believe make a good leader? Question Title * 19. Tell us about your experience of 'working as a team' or when you had to do something to help your community. Question Title * 20. What do you usually do in your free time? Question Title * 21. If you could have any superpower, which would it be? Flying Super strength Invisibility Super speed Reading minds Time travel Controlling the weather Teleportation Other Thank you for your answers. *** Now time to get creative! ***In order to finalise your application send us a video to tell us about your story and why you want to join Lead the Way leadership program. The video has to be less than 5min. Send the link or file to MarieD@mccgc.com.au by Monday 24th June. If you have any trouble, feel free to contact Marie (MCCGC) on 0438 201 796. Done