Expression of Interest for the Researcher Leadership Development Programs
Please complete the following application form to be considered for the program of your choosing.
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Please select the development program you would like to be considered for:
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Building Research Leaders for Early Career Researchers
Essence of Research Leadership for Mid-Career Researchers
Research Coaching Australia for Senior Researchers
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What is your name?
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First Name
Last Name
What is your email address?
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example@example.com
Which College are you from?
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Business, Creative Arts, Law and Social Sciences
Human Sciences and Culture
Nursing and Health Sciences
Medicine and Public Health
Science and Engineering
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Please enter your PhD conferral date:
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Day
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Month
Year
Date
When did you start at Flinders University?
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Day
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Month
Year
Date
What is your role at Flinders?
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I am in a balanced academic position
I am in a research-only position
I hold Academic Status at Flinders
Other (please specify)
Please specify your role:
Which level are you?
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Level A
Level B
Level C
Level D
Level E
Other (please specify)
Please specify your level:
Please indicate your gender:
*
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Did you have any significant career interruptions for parental leave, carer's responsibilities or illness that you would like to be considered?
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Yes
No
Please provide a concise description of your career interruptions. Please specify the number of years since your PhD conferral, taking into account the career interruptions. (maximum 100 words)
0/100
What is your general research field? (maximum 10 words)
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0/10
What are you hoping to achieve by participating in the development program? (maximum 100 words)
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0/100
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