FUTURE WORKFORCE WORKSHOP APPLICATION FORM So we can quickly get to know you and your development needs, please complete ALL fields in the below application form First Name* Last Name* Mobile Phone* Email* Position Title* Management Level* Director Executive General Manager Manager Superintendant Other Superintendent Professional Superitendent Organisation* What are your objectives for attending this program?* Do you have any medical requirements we need to know about?* Do you have any dietary requirements we need to know about?* Emergency contact details* Application Terms I consent to being photographed during my participation in the program and acknowledge that these images may be used by the Mining Leaders Group for marketing and social media purposes* I opt in to receiving marketing and promotional materials from Mining Leaders Group* I agree to the Terms and Conditions of Mining Leaders Group found at www.miningleaders.com.au/privacy-policy* Submit CONTACT US Thank you for contacting us. Your message has been shared with our team and someone will be in touch shortly. First Name Last Name Email Best Contact Number Message Enquiry SUBMIT FollowFollowFollow 247 St Pauls Terrace, Fortitude Valley QLD 4006 1300 456 536 hello@miningleaders.com.au