Ministry of Education - Funded Leadership Programme Application Form

BEFORE FILLING OUT THIS FORM: PLEASE READ
Before completing the application it is vital that you read the selection criteria and other information about the programme. Failure to do so is likely to jeopardize your chance of being selected.
This can be downloaded from the page you have just come from.

Name of Centre/Service/Group: *

MoE Licence No. (if applicable):

Contact person: *

Address: *

Suburb: *

City: *

Postcode: *

Postal address (if different from physical address):

City:

Postcode:

Mobile:

Phone (day): *

Email: *

Service type

Other:

Please specify

Service description

Which describes your service/group best?:

Service that has been operating a year or less

Service with new and/or aspiring leadership

Home-based service

Māori bilingual/immersion

Pasifika service

Management group

Other:

Please specify

Reasons for applying: *

Indicate the reasons for applying for this programme (no more than 300 words).
Note in particular why you wish to address the FOCUS AREA offered in your location. E.g. Hamilton — transitions; Wellington — social competence.

Name of applicant: *

Email (applicant): *

For further contact about this application form.

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

Math question: * 6 + 11 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

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