Regional Series Nomination

South West Series Nomination

Western Australian Leaders is focused on developing the next generation of leading companies headquartered in Western Australia.

The Western Australian Leaders Regional Series provides Regional Members with direct access to their own private network of the State’s leading decision makers.

Regional Members undertake a structured, online professional development and networking program with industry and government to fast track their company’s growth

For more information about the Regional Series, please click here.

To nominate your company for consideration as a Regional Member, please complete the following form and details. Once submitted, the details will be carefully reviewed and we will be in touch shortly after.

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

Part A: Background Company Information

Company Name *
Trading Name *
First Name*
Last Name*
Position *
Office Phone *
Mobile Phone *
E-mail *
Head Office Address *
Website *
ABN *
Year Company EST *
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? *

Please Note:

  1. Applications not containing the minimum level of requested information will not be considered;
  2. Applications may be subject to ASIC and police background checks;
  3. Further information may be requested by Western Australian Leaders to assist the judging process. Failure to provide this information may result in your company’s disqualification;
  4. The judge’s decisions are final. No discussion or correspondence will be entered in to.

Eligibility

Western Australian Leaders welcomes all Western Australian-based private and unlisted public companies to nominate, 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;
  • The company is headquartered at least 100km or more from Brisbane CBD.

Judging Criteria

The judging panel consists of a broad range of individuals who each have extensive skills and experience in the funding and growing of international corporations. In addition to those items already mentioned, key judging criteria in the selection process include:

  • Personal and management skills, abilities and ethics of the Principal;
  • Strategic direction and vision for the company;
  • Recent financial performance;
  • Market insight, innovation and strategy;
  • Future national and international opportunities;
  • Potential to become a significant national and/or international company.
  • We are looking for talented entrepreneurs that have the innovation and drive to become the next Western Australian Leaders.

Confidentiality

Any information about a company’s financial position, history and growth strategies will only be used by Western Australian Leaders and the judging panel for the purposes of selecting the Western Australian Leaders Regional 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 details in the footer of this page.

Declaration

By submitting this nomination, the applicant declares that:

  1. All information provided is true and correct;
  2. You agree to abide by the terms and conditions of nomination noted on this page;
  3. 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.

Nominate Now

Western Australian Leaders selects leading growth companies to become Members. Up to 25 Executive Leaders and 16 Future Leaders are selected each year.

Nominate Now

Western Australian Leaders

Phone 0423 674 157
Email info@waleaders.com.au

Suite 6,  24 Parkland Road
Osborne Park WA 6021

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