Cape York Leaders Update your details Please complete the form below. Step 1 of 2 - PART A: Personal details 50% Section BreakPART A: Personal DetailsName(Required) First Last Date of Birth(Required) MM slash DD slash YYYY Residential Address(Required) Address City State Postcode Postal address same as residential address Yes No Postal Address(Required) Address City State Postcode Phone(Required)Personal Email(Required) Work Email(Required) IdentityAre you Aboriginal and/or Torres Strait Islander origin?(Required) Aboriginal Torres Strait Islander Aboriginal and Torres Strait Islander non-Indigenous Associated Community(Required) Aurukun Bamaga Coen Cooktown Hope Vale Injinoo Kowanyama Laura Lockhart River Mapoon Mossman Gorge Mossman Napranum New Mapoon Pormpuraaw Seisia Umagico Weipa Wujal Wujal Yarrabah Other Please specify(Required)Which of the following leadership programs have your completed? Tick all that apply.(Required) Cape York Leadership Academy 2005-2012 CYLP Academic Leaders Secondary CYLP Academic Leaders Tertiary CYLP Youth Leaders CYLP Skilling Leaders CYLP Excelling Leaders Everyday (Skills2Lead) Leadership Program Excel Leaders (CP/McKinsey) Leadership Program Jalbu Jalbu Aspire Leadership Program Digitial Leadership Program Forums or Summits PART B: Education, Employment & InterestsEmployment Status(Required) Employed Carer's duties Unemployed Looking for work Position / Role(Required)Employer Name(Required)Your top three skills you'll bring to future opportunites(Required) Add RemovePassion Areas (tick or write your own)(Required) Youth leadership Environmental protection Women’s wellbeing Cultural heritage Business and enterprise Health and wellbeing Education and training Mentoring/Coaching Youth support Arts and craft Hospitality Gardens and maintenance Policy and innovation Administration Business/HR Other Please specify(Required)
