Skillsbank Application Form

SkillsBank is one program in a suite of projects that aim to drive change. SkillsBank and other projects deploy Leadership Victoria Alumni to address emerging issues that call for exceptional leadership.

SkillsBank placements are:

• Leadership-focused: examples of placement activities include running a leadership workshop for the senior staff of an organisation, working on a project that aims to foster the emerging leaders in an associated community, and serving as a member of a Board.
• Focused on the long-term: each placement emphasizes long-term benefits for the community organisation. These benefits might be realised, for example, by transferring knowledge, engendering a change in an organisation’s future practice of leadership or working on strategic activities.

SkillsBank creates a collaborative, stimulating and inspiring experience for Leadership Victoria Alumni and provides host organisations with a leading edge.

In order for SkillsBank to understand the nature of your organisation and the assistance you require, it is important that you define the issue(s) clearly and complete all relevant questions on this form.

SKILLSBANK APPLICATION FORM
There are 5 sections in the application form: The 1st (contact information) and 5th (certification) must be completed. Part 2 pertains to requests for Board of Management members, Part 3 for requests for a mentor and Part 4 requests for project assistance or advice.

Name of organisation:.......................

Name of primary contact person:....

Position of primary contact person:

Contact details:

Phone: Mobile: ...........

Email: Web address:

Organisation address:

Is the organisation:

Please provide information about your organisation, including its mission, a brief history and summary of core programs or activities.

What is your organisation’s tax status?

Background information about your organisation
Purpose of the Organisation (could be brief history, key services, key clients, sector)

For Board Membership
If seeking a Mentor
For all Other Types of Project Assistance

As Chief Executive Officer (or equivalent) of the organisation, I certify that the information given in this application is true and correct. All appropriate information about our organisation will be made available to the skilled volunteer provided by SkillsBank. I agree to report to SkillsBank on the progress and outcomes of the project/activity when requested to do so.

I further note that my organisation accepts that the Alumni participating in this SkillsBank placement do so as volunteers and neither as representatives of their own employer nor as agents of Leadership Victoria. Any advice provided by a SkillsBank volunteer is given in good faith; where critical matters are involved I acknowledge that my organisation will seek independent professional advice. Any Alumni will be treated as a volunteer for insurance purposes. I acknowledge that a volunteer cannot be held personally liable for anything done, or not done, within the scope of the project or activity coordinated by Leadership Victoria.

DISCLAIMER
Leadership Victoria does not guarantee to successfully match every request from a non-profit organisation through SkillsBank. Whilst we endeavour to make the best possible match for each organisation and supply a candidate who is appropriate to the organisation’s needs, it is the organisation’s responsibility to assess volunteers and satisfy themselves as to the suitability of the selected person.

Leadership Victoria does not verify or take responsibility for the accuracy of a candidate’s application and is therefore not responsible for any incorrect details which may be contained in a candidate’s application or any misrepresentation which may be made by a person. Leadership Victoria recommends that organisations undertake careful due diligence through referee checks etc.

Each organisation must take full responsibility for its own decisions in selecting and appointing candidates. Leadership Victoria has no liability, in negligence or otherwise, for the ultimate suitability of candidates or for any acts or omissions on the part of individuals appointed through SkillsBank.

Does your Organisation have accident insurance or liability insurance to cover its members?
Yes No 
If yes, please give details:

If you have any queries, please email Sunita Varlamos, Program Manager, Projects on SkillsBank@leadershipvictoria.org or phone 9651 6593.