Are you interested in developing local transport solutions? Then take a stand and enroll in Wyndham’s Building Blocks ‘Get Wyndham Moving – Active Travel’ Community Leadership Program FREE accredited 10 week training provided by Victoria University. Through Wyndham’s Building Blocks ‘Get Wyndham Moving – Active Travel’ Community Leadership Program you will be supported to take a stand on Wyndham’s traffic and transport issues by working alongside Council to identify and implement a range of short and long term solutions that will help to make a difference in our community. Utilising a unique and interactive format, participants will learn how to formulate creative strategies to implement change and to facilitate the growth and development of high functioning, dynamic and sustainable communities. Venue Tarneit Community Learning Centre 150 Sunset Views Blvd Tarneit Session Times Monday evenings Arrive at 6pm for a light dinner 6.30pm start until 9.30pm 5th October – 7th December 2015 (inclusive) (10 week program) Supplementary classes may be required – days & times by negotiation Upon completion of the program, participants will be equipped with the RSVP skills and the framework to recognise opportunities, as well as insights [email protected] into implementing new transport initiatives within the local community. Or phone: 03 9742 0812 What Can Participants Expect? Gain confidence and skills to advocate for the community and to CLOSING DATE: drive community-building ideas to fruition; Midnight Sunday 20th September Opportunity to gain support from strong peer relationships and 2015 committed facilitators; Opportunity to be mentored by Council staff and other All Learning Materials provided FREE professionals in specific areas of interest; Opportunity to participate in a Graduation Ceremony with Professional Victoria University Facilitators certificates presented by the Wyndham City Mayor and dignitaries from Victoria University; and Light Dinner and Refreshments Opportunity to receive Recognised Prior Learning (RPL), with provided completed units to be recognised for those wishing to pursue a Please inform of any dietary or Certificate III in Community Services Work, Active Volunteering or other access requirements at other related courses at Victoria University. registration Please note that the information provided will be used solely for the purpose of administering the Wyndham’s Building Blocks Community Leadership programs Applicant’s details Name Street: Address Suburb: Postcode: Postal Address Phone number Mobile number Email address Preferred method of contact (tick) Age: please tick Telephone 16-25 Mobile 26-39 Email 40-59 60+ Country of Birth Preferred Language Why do you want to take part in Wyndham’s Building Blocks ‘Get Wyndham Moving – Active Travel’ Community Leadership Program? _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ Do you live, work, study or volunteer in Wyndham? Yes No Have you been involved in any Wyndham community groups or committees? Yes No If yes, please provide details including your involvement (e.g. chair person, treasurer, member etc): _______________________________________________________________________ _______________________________________________________________________________________ Have you been involved in community work or projects before? Yes No If yes, please provide details: _____________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ What do you hope Wyndham will be like in the year 2040? _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ What do you consider to be Wyndham’s main traffic and transport issue? _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ As a participant in the Wyndham Building Blocks Community Leadership program you will be funded as part of a small team to develop and roll out transport /active travel specific project. Can you please list a preference for a possible transport /active travel project idea? Please note the project ideas will only to be used as a guide to assist in the planning of the Wyndham Building Blocks ‘Get Wyndham Moving Active Travel’ Community Leadership program. _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ How do you consider participation in the Wyndham Building Blocks ‘Get Wyndham Moving – Active Travel’ Community Leadership program will assist your leadership journey? _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ Please list any other details you think are relevant to your application: _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ Do you have dietary or access requirements e.g. interpreters, carer support? Yes No If yes, please provide details: _____________________________________________________ For further information, or if you would like this document in an alternative format, or require assistance completing this form, please contact: Sharon Brown, Wyndham City Council, Tel: (03) 9742 0812; Email: [email protected] or return the completed form by email or post to: Sharon Brown, Wyndham City Council, PO Box 197, Werribee, Victoria 3030 or in person to: Wyndham City Council Civic Centre, 45 Princes Hwy, Werribee, Victoria
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