Emerging Leaders Youth Conference Nomination Form 2023

Emerging Youth Leaders Conference 2023 aims to build upon the success of the 2020 and 2022 programs by once again bringing together schools leaders and young people in exisiting youth programs to learn more about Vulnerablity and Authentic leadership.

This year nominations have been opened up for up to 80 registrations with 20 places allocated for nominations by indivduals aged 16-18 years of age - not representing any organisation but self-nominating for their own personal development.

This program will be delivered over 3 days - Wednesday 3rd of May - Friday 5th of May.

By completing this form, you acknowledge our expectation that you will be available to attend all 3 days of the program and be present on site from 8:30am until 2:30pm.

Media Consent forms will be issued to all participants attending the event for completion prior to 3rd May 2023. Students/ Young people under the age of 18 will require parent/guardian consent on this form.

Students attending on behalf of their school/ youth program will remain the responsibility of the school/program during the course of the conference and as such, transportation to and from the event is up to the school. In the event of an emergency - the school will be contacted /notified in order to respond according to their policies and the identified Emergency Contact on this form may also be notified.

Thank you for taking the time to Nominate - we look forward to hosting you at this wonderful event for Young Leaders.

Type of Registration * 🛈

High School Representative

Flexible Learning Centre Representative

Youth Group / Youth Program

Individual

If you are representing a School/Flexible Learning Centre /Youth Group or Program, please insert their name here:

Surname *

First Name *

Date of Birth * +

Email Address *

Contact Phone Number *

Dietary Requirements?

Emergency Contact Name: *

Emergency Contact Phone Number: *

Relationship to applicant: *

What are your top three (3) 'youth' focus areas? *

Tell us what you're all about? (Guiding questions but not limited: What are your core values? What do you stand for or against? What change do you want to see in the community for young people? Why does your voice matter?) *

Save & Return Account (optional)

New Users / Returning Users CLICK HERE to setup or return to your account for this form. Creating an account enables you to return to this form and your submitted results. An account will also enable you to partially complete this form and return later to finish. The account you establish is only for this form.

Townsville City Council collects and manages personal information in the course of performing its activities, functions and duties. We respect the privacy of the personal information held by us. The way in which council manages personal information is governed by the Information Privacy Act 2009 (Qld). We are collecting your personal information in accordance with Local Government Act 2009 so that we can register your attendance, contact you during the event and contact you in the future for any other similar events you may be interested in. Generally, we will not disclose your personal information outside of Council unless we are required to do so by law, or unless you have given us your consent to such disclosure. However, in performing the above functions, we will need to disclose your personal information to the relevant school you are representing. For further information about how we manage your personal information please see our Information Privacy Policy.