Peers4Good Application Form

Peers4Good is an 8-month peer group mentoring program to build the capacity and capability of impact-driven leaders to drive positive social change. Peers4Good is for emerging and existing leaders in any sector or industry who wish to amplify their capacity to deliver social impact through their work and in their community. Applications for the 2021 Peers4Good program are now open, please apply using the below form. Applications close midnight Sunday 7th March, and applicants will be notified of the outcome by Friday 12th March 2021. The program will commence shortly after. For more information on the program please see our Peers4Good page.

Name

First Name

Last Name

Preferred Name

Phone

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Tell us a little about you and why you are interested in joining Peers4Good

(Share with us where you are at on your leadership journey, and what you feel you need to work on to go to that next level)

What do you feel you can bring to the Peers4Good program?

(Peers4Good is a group mentoring program where we learn, connect, collaborate and share with each other)

What would success look like for you at the end of the Peers4Good program?

(what are some measurable goals that you would like to achieve through your Peers4Good participation)

I would like to be considered for a Collab4Good scholarship which would grant me a fee-free place in the Peers4Good program.

Please tick the box below if you would like to be considered for a Collab4Good scholarship to participate in Peers4Good

Please consider me for a Collab4Good scholarship

By submitting this application, I indicate that:

Please tick all boxes to indicate your agreement

I understand that Peers4Good requires my commitment for at least 3-hours per month for 8-months;

I am aware that if I am successful in getting a place in the program, that there is a cost of $500+GST to participate, payable at the start of the program (unless I am a recipient of the Collab4Good scholarship)