Application for Towards Strategic Leadership

Application for Towards Strategic Leadership

Tasmanian State Service

Application for Consideration

Towards Strategic Leadership Program (TSL)

Developing strategic capability in the State Service

ANZSOG TSL 1 | Page

Application for Towards Strategic Leadership

Please complete this application form and the Personal Statement section
and forward to the State Service Management Office (SSMO).
About you / / / / / /

Name

Home Address

Suburb | State

/

Post Code

Gender

/ / /

Date of Birth

About where you work

Your Agency

Your Division

Your job title

/ Your Level

Your work address

Briefly outline your current role

Your contact details

Phone Numbers / Work: Mobile:
Your work email
Your work postal address

ANZSOG TSL 1 | Page

Application for Towards Strategic Leadership

Towards Strategic Leadership Program Fee

40% Agency Contribution / $8,580.00 / TOTAL COST OF TSL PROGRAM
$21,450
60% SSMO Contribution / $12,870.00

About your sponsor* details(*This is the person you report to or the person supporting you in this program).

Name
Position
Email
Phone Numbers / Work: Mobile:
Work Postal address

About your financial sponsor*details(In most cases this will be the same person as your Sponsor. Please complete if different than Sponsor)

Name
Position
Email
Phone Numbers / Landline: Mobile:
Work Postal address
*This is the person who has the delegation to pay your Agency’s co-contribution of 40% of the total TSL cost.
About your work and education background (degrees and/or diplomas awarded) /

Please tick

I have 5 years public sector work experience /
Undergraduate Degree /
Postgraduate qualification /
Master Degree /
PhD /
Other – please specify
How did you hear about the ANZSOG Scholarship?
/ / /

Please specify

DECLARATION

Your Sponsor* declaration to support you attending the program

*This is the person you report to or the person supporting you to attend this program.

/ I am aware of the commitment required by the applicant to complete all aspects of the program.
/ I believe the applicant is ready to meet the challenges of the program and I am willing to support them by releasing them to attend the face-to-face components of the program at location/s determined by ANZSOG.
/ I agree that the applicant’s Agency will pay 40% of the TSL Program fee.
/ I understand that SSMO will pay the remaining 60% of the TSL Program fee.
/ The total cost of the TSL Program Fee covers the registration fee which includes tuition at two x five day modules, reading materials and most meals.The Scholarship does not cover flights, ground costs, additional accommodation or travel allowance outside the teaching dates. These costs are to be met by the applicant’s Agency.

Signature of Sponsor

/

Date

Your financial sponsor** declaration and agreement to pay co-contribution fee**This is the person who has the financial delegation to approve payment of the co-contribution required for the participant to undertake the TSL program. In most cases this will be the same person as your Sponsor. Please complete if different than Sponsor.

/ I agree that the applicant’s Agency will pay 40% of the TSL Program fee.
I note the Scholarship does not cover flights, ground costs, additional accommodation or travel allowance outside the teaching dates. These costs are to be met by the applicant’s Agency.

Signature of Financial Sponsor**

/

Date

Your declaration

To inform myself about the TSL and fully understand the workload and commitment required to undertake this program I have:

Please tick
/ visited Australia and New Zealand School of Government and SSMO websites and/or
/ discussed the TSL program with other TSL Scholarship recipients.

I also declare the following:

/ I am ready to undertake a significant program of tertiary level study.
/ I am committed to participating in all aspects of the program (Module I and Module II), including being available to attend activities associated with the program.
/ I will provide the SSMO with a profile for their marketing and communicating mediums.
/ I will seek opportunities within my Agency and through SSMO to share my learnings across the Service.
/ I have attached a current professional profile / CV with my application form.

Signature

/

Date

PLEASE COMPLETE THE PERSONAL STATEMENT ON THE NEXT PAGE

Your Personal Statement / Application

The Personal Statement helps the Review Panel learn more about you, your motivations for undertaking the program and your desired learning outcomes.

To ensure selection in this program aligns with the standard ANZSOG selection criteria, applicants should address the following questions:

Please answer the following questions (maximum of 750 words per question).

Name:

1.What are your reasons for undertaking the program?

2.What are your long term objectives, and how will the program help you achieve them?

3.How will the program contribute to your leadership development?

4.How will the program contribute to your organisation’s outcomes?

5.What current or soon to be role you will play in leading a cross-agency project.

6.What current or soon to be role you will play in leading organisational change.

Next steps
Print this form, have the document signed by your Sponsor/s, scan it and send to
IMPORTANT NOTE:
If your application for a TSS Scholarship is successful, you will be required to complete
an official ANZSOG Application form for the relevant program and submit via SSMO.

ANZSOG TSL 1 | Page