Organisation Form: TRAIL – emerging leaders program | Australian Rural Leadership Foundation

Thank you for registering for TRAIL: emerging leaders program. Your data is collected in compliance with our data collection and privacy policies here. Participants are required to complete an online application form.

1. Organisation Details

Please provide the details for the person in your organisation who is the main contact.

Organisation Name*

Contact Name*

Prefix First Last

Job Title*

Work Number

Mobile Number*

Contact Email*

Billing Address*

Address Line 1 Address Line 2 City State Postcode Country

2. Register for TRAIL

Please advise how many people you wish to register on TRAIL: emerging leaders program?

How many participants do you wish to register for 2021?*

Are you interested in committing to the program for future years?*

If you answer 'yes' will be in contact with you to discuss options regarding contracting for future years.

Yes
No

How did you hear about TRAIL: emerging leaders program?*

Other

3. Participant Details

Please provide the details of each participant. Participants will be emailed a link to the program application form. If participants are unknown, please leave blank. Participants names and details need to be confirmed by 26 August 2021.

Name

Prefix First Last

Participant Email

Participant 2

Name

Prefix First Last

Participant 2 Email

Participant 3

Name

Prefix First Last

Participant 3 Email

Participant 4

Name

Prefix First Last

Participant 4 Email

4. Agreement

Please read and indicate your agreement to the following terms.

Do you understand the cost of TRAIL is $10,450 (inclusive of GST) per participant?*

Participants will be asked to pay a contribution of $220 (inclusive of GST). Participants may be required to fund some travel or incidental expenses. More details will be provided in their program welcome letter.

Yes

Please email the invoice to

Please indicate the billing contact details (if different from the main organisation contact).

First Name Last Name

Email

Phone

I understand that registration is confirmed only when full registration payment is made.*

Yes

I have read and agree to the Terms and Conditions.*

View short course registration TERMS AND CONDITIONS. There are fees and penalties associated with cancellations, transfers and substitutions, please read these Terms and Conditions thoroughly. Also, you can view the ARLF Privacy Policy here.

Yes

I declare that the information provided in this form is complete and correct.*

Yes

Following receipt of your registration, the ARLF will issue an invoice for payment. An application form will be emailed to the participant to complete. If participant details are unknown, please provide names and details to the ARLF by Friday 5 February 2021.

Organisation Form: TRAIL – emerging leaders program

Register your organisation for the TRAIL: emerging leaders program

1. Organisation Details

2. Register for TRAIL

3. Participant Details

Participant 2

Participant 3

Participant 4

4. Agreement