Engagement Institute Governance Scholarship

GOVERNANCE SCHOLARSHIP
APPLICATION FORM

The Engagement Institute is proud to offer one scholarship valued at up to AU$10,000 to support a member in completing either the Australian Institute of Company Directors (AICD) or New Zealand Institute of Directors (NZIoD) Company Directors’ Course in 2025-26.

Conditions of Award

By accepting the scholarship, recipients agree to:
- Complete the course within 12 months of being awarded the scholarship.
- Commence the course within the same financial year (1 July – 30 June) in which the scholarship is awarded.
- Submit evidence of successful course completion, such as the official certificate of completion issued by the course provider, confirming all requirements have been met.
- Attend the Engagement Institute’s Annual Conference or New Zealand Symposium to formally accept the scholarship.
- Contribute back to the Engagement Institute community within three months of completing the course by either:
  - Writing a short reflection piece for publication in Engagement Institute’s communications, and/or
  - Presenting a short webinar or attending an event to share key learnings.
- Acknowledge the Engagement Institute’s support in any public communications related to the scholarship.
Failure to meet the conditions may result in cancellation of the scholarship and/or reimbursement of funds.
- Outcomes will be confirmed in writing
Nominations close: 11.59pm (AEST) Sunday 31 August 2025.

For further inquiries, please contact membership@engagementinstitute.org.au

All fields marked with * are required and must be completed.

SECTION 1: APPLICANT DETAILS
Name*

First Name/sLast Name
Current Role / Title*
Organisation*
City / Suburb*
State / Region*
Country*
Mobile Number*
Please enter a valid mobile number.
Email*
example@example.com
Engagement Institute membership*

I confirm that I am a current financial member of the Engagement Institute, residing in Australia or New Zealand, and have held continuous membership for at least the past 2 years.
By checking this box, you agree to the Terms and Conditions of this application. Should you be found not to be a member of the Engagement Institute, or not have held continuous membership for at least the past 2 years, you are aware that your application will be disqualified and no longer considered for this scholarship.

SECTION 2: APPLICATION
Q3. In 300 words or less outline your demonstrated leadership in the field of engagement at a senior level. Include specific examples of initiatives you have led, your role and responsibilities, the outcomes achieved, and how your leadership influenced the engagement process or strategy.*

0/300
If providing supporting evidence in the form of a document, image or other file, please upload it here.

Please ensure the file is saved as your name 'First_Surname_title' when uploading
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If providing supporting evidence in the form of a publication, video or otherwise available online, please provide the link here.
Q4. In 200 words or less, describe how you have demonstrated a strong commitment to your professional development in the engagement field. Include examples of formal training, informal learning, mentorship, or contributions to the profession, and how these have enhanced your practice or influenced others.*

0/200

SECTION 3: REFERENCE
Please note: This application cannot be reviewed until at least one reference has been submitted.

Please provide at least one written reference / testimonial who can speak to your governance potential, leadership experience and professional contribution.
Referee 1
Name*

First NameLast Name
Position*
Organisation *
Contact Number *
Please enter a valid mobile number.
Email*
example@example.com
Reference File Upload*

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Referee 2

(Optional)
Name

First NameLast Name
Position
Organisation
Contact Number
Please enter a valid mobile number.
Email
example@example.com
Reference File Upload

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SECTION 4: SUPPORTING DOCUMENTS
CV or LinkedIn profile – A brief summary of the applicants's professional experience.
A CV listing at least the past 10 years of employment.

Please ensure the file is saved as the nominees name 'First_Surname_CV' when uploading
Cancelof
OR Link to the nominees LinkedIn profile here.
Declaration

The Engagement Institute respects your privacy and the confidentiality and security of personal information provided by you to us. The information provided by you to the Engagement Institute on this Online Application Form will be used by the Engagement Institute for the purposes of communicating with you in relation to this scholarship in accordance with our Privacy Collection Statement. Our Privacy Policy contains information about how you may access your personal information and seek correction of such information. By applying, you indicate that you have read, understood and agree to the Terms & Conditions of applying for the Governance Scholarship and the Privacy Collection Statement before providing your personal information.
Should be Empty:

Referee 1

Referee 2