CLP Application Form

Thank you for your interest in applying for the Crisis Leadership Program. To complete your application, you will need to provide your personal details, answer some short questions, and provide your CV and a completed employer support letter.

1. Required documents

Understanding course and cost fees

Course fees

Course fees and associated costs for the in-person intensive module are charged according to each participant’s employment (see Tier structure below). Course fees are subsidised for participants working with local organisations, with only some intensive module costs to be paid for.

Tier 1

Participants working for local NGOs or other local organisations.
Tier 1 participants are not charged course fees, but are required to pay for transport to the intensive module location, and for some meals.

Tier 2

Participants working for international NGOs or the UN.
Tier 2 applications are required to pay course fees and travel costs (including accommodation and meals).
CLP Seed Tier 2 costs: USD $400
CLP Grow Tier 2 costs: USD$550

Please note you will be required to provide:

CV

Attach a copy of your current CV.

Written responses

Provide written responses to the following statements:

Why do you want to participate in the Crisis Leadership Program?
Tell us about your leadership experience, either in your current job or a previous role. What would you describe as your key leadership strengths?

Employer support form

Have your Manager complete the Employee Course Support form.

2. Required documents

Please complete the following documents and have them ready to upload as part of your application:

Employer course support form 598.0K (pdf)

3. Additional Tips

Keep all attachments under 5MB in size.
All uploaded documents must be supplied as PDF format.
Try to avoid applying on a weak or unreliable internet connection.
Make sure everything is filled out and uploaded correctly.

Step 1Personal information

Name*

First Last

Preferred name

Gender*

Pronouns*

She/her

Him/he

They/them

Email*

Please list your primary email. We will use this email address for course communications.

Phone*

Date of birth*

Personal Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Upload your CV*

Drag files here or browse your computer Max. file size: 64 MB.

Please upload your CV in either Word document or PDF.

How did you hear about this course?*

Step 2Course selection

Please choose your preferred course from the available dates.

What course are you applying for?*

Available dates for CLP Grow*

Available dates for CLP Seed*

CLP Seed is for those people with between 1-3 year's experience in the humanitarian and disaster response sectors.

Step 3Statistical information

What is your nationality?*

In which country were you born?

Please list your languages spoken*

List of languages, separated by a comma

What is the highest attainment of education you have received, prior to this course?*

Last year of enrolment in prior education?*

What is the name of the institution where you attained your highest level of education?*

Step 4Eligibility criteria

Do you have 1-3 years’ work experience in an organisation or government body engaged in, humanitarian responses, emergency management, development programmes or crises response?*

Yes

No

Unsure

Do you have 3-5 years’ work experience in an organisation or government body engaged in, humanitarian responses, emergency management, development programmes or crises response?*

Yes

No

Unsure

Do you have sound command of the English language?*

Yes

No

Unsure

I am prepared and able to commit to at least 3 hours of study a week for the duration of the course, and attend a three day intensive module.*

Yes

No

Unsure

Please refer to the dates and locations listed above.

Step 5Employment

What is your employment status?

What is the name of your current employer? Or, if you are unemployed, what is the name of your previous employer?*

What is your job title? Or, if you are unemployed, what is the name of your previous job title?*

How long have you been in your current position?

What country do you work in?

Please upload the completed employer support letter (available to download at the top of this page.*

Drag files here or browse your computer Max. file size: 10 MB.

The employer support letter is available to download at the top of this application form. Please download the form, have it signed by your employer (e.g. your Line Manager/Supervisor) and upload it with your application.

Step 6Personal statement

Why do you want to participate in the Crisis Leadership Program?*

Tell us about your leadership experience, either in your current job or a previous role. What would you describe as your key leadership strengths?*

Is there any other information you would like to provide to support your application?

Step 7Consent and agreement

Consent*

I acknowledge that I have read and accept the Information Privacy Statement for Students: https://www.deakin.edu.au/students/enrolment-fees-and-money/enrolments/student-information-privacy

Deakin University collects your personal information from you directly by way of this application form.

This information will primarily be used to assess your eligibility for admission into the CLP Seed course. If your application is successful, your information will be used to offer you a place on a course and to administer your acceptance or refusal of that place.

You should also expect Deakin to use your personal information to:

1. Provide you with additional information related to your application for admission (e.g. about fees, scholarships, course requirements)
2. give you information on additional opportunities for studying at Deakin
3. help Deakin with marketing and fundraising initiatives
4. Conduct planning and quality assessment activities
5. Invite you to participate in surveys or research.

As part of the selection process, Deakin will disclose your personal information to the extent necessary to verify your qualifications or experience.

On admission into the course, the personal information collected in the application process will form part of your student record and will be managed in accordance with Deakin's Information Privacy Statement for Students located at:
https://www.deakin.edu.au/students/enrolment-fees-and-money/enrolments/student-information-privacy.

Please note that your academic results and performance will only be provided to you, and will not be disclosed to your employer, without your consent.

Deakin University manages personal information it holds, including requests by individuals for access to their personal information, in accordance with the Privacy and Data Protection Act 2014 (Vic) and the Health Records Act 2001 (Vic).You have a right to gain access to your personal information held by the University. Information about Deakin’s privacy practices is available at http://www.deakin.edu.au/footer/privacy . You may obtain further information about privacy at Deakin by contacting the Privacy Officer at (03) 5227 8524 or at privacy@deakin.edu.au

Deakin University manages personal information under the authority of the Deakin University Act 2009 (Vic). It also has a legitimate interest in the processing of personal information to determine eligibility for admission into its courses and, when admitted, to manage an individual's relationship with the University. The University’s Privacy Officer, Shirley Rooney, is the Data Protection Officer for the purposes of Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and repealing Directive 95/46/EC (General Data Protection Regulation) OJ L 119/1, 4.5.2016 (GDPR). The Data Protection Officer may be contracted at (03) 5227 8524 or at privacy@deakin.edu.au As a resident of the European Union you have rights under section 3 of the GDPR. You may exercise your rights as a data subject in the following manner: Access: you may receive a copy of the personal information held by Deakin about you. Correction: you may request correction of the personal information Deakin holds about you. Objection to Processing: you may object to processing if you demonstrate that Deakin's processing of your personal information impacts on your fundamental rights and freedoms (as contemplated by the GDPR). Your objection to processing may be denied if Deakin is able to demonstrate compelling legitimate grounds to process personal information which override those rights and freedoms. Suspension of Processing: you may request that Deakin suspend the processing of your personal information if: a) you want Deakin to establish the data's accuracy before processing it; b) Deakin's use of the data is unlawful but you do not want it erased from Deakin's records; c) you need Deakin to hold the data to enable you to establish, exercise or defend legal claims; or d) you have objected to Deakin's use of your data but Deakin is in the process of verifying if it has overriding legitimate grounds to use it. Transfer to you or to a third party: if we hold your personal information in an electronic format (e,g. a database), we will provide it to you, or a third party in a structured commonly used, machine-readable format. Withdrawing consent: if Deakin processes your personal information based solely on your consent, you may withdraw that consent, however Deakin may not be able to continue to provide you with certain goods or services. If your withdrawal of consent relates to marketing material please follow the unsubscribe processes located at http://www.deakin.edu.au/footer/privacy .

Final declarations*

I have obtained Line Manager/Supervisor approval to participate in this course (if applicable).

I commit to engage with the learning programme including attending, in full, all mandatory distance learning activities.

Signed*

Please list your initials

Date