Future Leaders Series Application

The ‘last’ first step you’ll take in growing your business. Emerging companies require access to the best people and advice when they can least afford it. Leaders will provide you with a seat at the table of the most influential business people who provide the knowledge and networks to assist you to grow your business.

Western Australian Leaders selects up to 16 companies each year from all the expressions of interest received to become Future Leaders Members. For more information about the Future Leaders Series, please click here.

To express interest, please complete the following details. Once submitted, we will be in touch to discuss further.

The fields marked with an asterisk (*) are mandatory.

Part A: Background Company Information

Company Name*

ABN*

Trading Name *

First Name*

Last Name*

Position *

Office Phone *

Mobile Phone *

Email *

Address

City

State

ZIP code

Country

Website *

Year Company Established *

Select Relevant Industry Category

Part B: Company Details

Locations of other offices:

Number of Current Employees

Full time *

Part time *

Is the company a subsidiary or affiliate of another company? If yes, Please describe the relationship that the companies share:

In less than 75 words please describe the business:

How did you hear about us? *

Eligibility

Western Australian Leaders welcomes all Western Australian-based companies to express interest, in keeping with the following key eligibility points:

The company has, or is building, a market leading brand, technology or skills base;
Business is a market leader or has the potential to be a market leader within its industry sector;
The company is in wealth creation mode and is seeking growth opportunities within the next 12 months;
The key executive/s are seeking the knowledge and networks to evolve their business to the next stage;
Executives are open to new ideas and thinking.

Confidentiality

Any information about a company’s financial position, history and growth strategies will only be used by Western Australian Leaders for the purposes of selecting the Future Leaders Members, and will be stringently treated as commercial-in-confidence. Any contact details may be provided to Industry Experts, Industry Partners, Executive Members and Alumni Members of Western Australian Leaders.

Privacy

The Western Australian Leaders Privacy Policy can be viewed by following the relevant link in the footer of this page. Further information or clarification can be provided by contacting Western Australian Leaders via the contact details in the footer of this page.

Declaration

By submitting this expression of interest, the applicant declares that:

All information provided is true and correct;
You agree to abide by the terms and conditions of expression of interest noted on this page;
The company is free from legal investigation and is compliant with all Acts, Ordinances, Regulations and By-Laws, Orders, Awards, Licenses, Permits, Approvals and Requirements in respect to the operation of the company.

Expression of Interest : Future Leaders Series

Future Leaders Series Application

Part A: Background Company Information

Part B: Company Details

Eligibility

Confidentiality

Privacy

Declaration

Expression of Interest

Western Australian Leaders

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