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2019 LGA Youth Leadership Forum

* Mandatory Field

Introduction

Building on the successes of the Regional Youth Traineeship Program, the LGA in partnership with Primary Industries and Regions SA will be delivering four two day youth leadership forums in regional South Australia during July and August 2019.

Individuals who are eligible to attend have either:

  • participated in the Regional Youth Traineeship Program in Round 1 or Round 2 and are currently working and residing within regional South Australia; or
  • are between the ages of 17 and 26 and currently regionally employed: and
  • gained at least one Certificate III Qualification.

Call to check if eligibility is in doubt as there is some flexibility on a case by case basis.

Costs associated with travel, accommodation and meals will be covered or reimbursed with grant funds.

Eyre Peninsula - 24, 25 July

Fleurieu Peninsula - 31 July and 1 Aug

Barossa Valley - 14, 15 Aug - FULLY BOOKED

Limestone Coast - 21, 22 Aug

  • Recent winners and nominees from the Channel 7 Young Achiever Awards will speak on the first day of the forum
  • The Leaders Institute of South Australia have been engaged to design and deliver the forum content
  • Mia Handshin will be the facilitator for both days
  • There will be a night activity from 7pm - 9.30pm

Additional information on the 2019 LGA Youth Leadership Forums will be available via Circular and email in the coming weeks.

For enquiries call Natasha Black – Regional Youth Traineeship Program Coordinator 8224 2013 or email natasha.black@lga.sa.gov.au.

Participants details
Council name*
Other, please specifiy
Participants title
Participants first name*
Participants last name*
Mobile Phone Number:*
Date of birth*
(dd/mm/yyyy)
Particpants job title*
Participants email address*
Certificate III qualification held*
Dietary requirements
Emergency Contact and Medical Information
Emergency Contact’s Name (First and Last)*
Emergency Contact's Phone Number*
-
Emergency Contact's Email Address*
Relationship to you*
Other (please note)

Do you have any allergies, chronic illness or medical condition/s that we should be aware of to enable us to assist you should a situation arise?

If you answer Yes below, we will be in contact with you prior to the event for more details.*
Youth Leadership Forum locations

Please note which region/location your organisation is allocated to register for by clicking here.

Location/venue*
Travel arrangements

The LGA will reimburse the costs associated with travel on the receipt of a tax invoice detailing the nature of the expenses and supported by evidence of a receipt copy, photos (odometer readings) or accompanied by an explanatory statement authorised by a Manager or CEO, on organisational letterhead. Rates for 2019/20 cents per kilometre car allowance are $0.68 cents per kilometre GST free.

Accommodation and meals associated with the forum will be booked by the LGA.  Driving longer that two hours either side of the forum commencement and completion on the second day is not encouraged. Additional accommodation may be required in this instance.  With this in mind, please indicate how many nights’ accommodation will be required.

Accommodation nights required?*
PhotographyVideography consent

By registering for this Local Government Association event you accept the possibility that your photograph may be taken and/or you may be recorded. These images or recordings may be used or shared by the LGA for promotional and educational purposes.

If you do not wish to have your photo taken please contact marketing@lga.sa.gov.au.

Authorisation
Name of person approving application to attend LGA Youth Leadership Forum 2019*
Position title*
Email address*
Contact phone number*
-
Please enter your email address below to receive a confirmation of your registration.
If you see this, leave this form field blank.

Send a copy of the submitted form to this email address.

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