OPTIMISE 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* Email* Role* Organisation* LinkedIn profile* List any relevant medical requirements you have* List any relevant dietary requirements you may have* Emergency Contact Details* Who has approved and is supporting your participation in this program?* What are your 3 main objectives for attending this program? * Which management and leadership capabilities do you need to develop to be high performing today and into the future?* Which business capabilities do you need to develop to be high-performing today and into the future?* Which technology capabilities do you need to develop to be high-performing today and into the future?* In what areas would your program sponsor or line manager like to see you develop in? * What are the main ways in which you are currently developing your capabilities?* What are your career aspirations and why? * List any psychometric profiling or 360-degree survey tools you have undertaken in the last 5-years in order to better understand how you are seen by yourself and others to be performing in your workplace. * Please summarise the optimisation project you wish to bring to the program. * 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