Executive Leaders Series Application

Success in business requires knowledge, experience and vision. The Executive Leaders Series brings fresh expertise, industry knowledge and valued connections. The Series enables leading companies to not only face a broad range of challenges and opportunities, but to excel in driving personal, professional and business growth.

North Metro Leaders selects up to 25 leading growth companies each year from all the expressions of interest received to become Executive Leaders Members. For more information about the Executive Series, please click here.

To express interest, please complete the following details. Once submitted, we will be in touch to discuss further.

The fields marked with an asterisk (*) are mandatory.

Part A: Background Company Information

Company Name*

ABN*

Trading Name *

First Name*

Last Name*

Position *

Office Phone *

Mobile Phone *

Email *

Address

City

State

ZIP code

Country

Website *

Year Company Established *

Select Relevant Industry Category

Part B: Company Details

Locations of other offices:

Number of Current Employees

Full time *

Part time *

Is the company a subsidiary or affiliate of another company? If yes, Please describe the relationship that the companies share:

In less than 75 words please describe the business:

How did you hear about us? *

Eligibility

Western Australian Leaders welcomes all Western Australian-based growth companies to express interest, in keeping with the following key eligibility points:

The company has, or is building, a market leading brand, technology or skills base;
Business is a market leader or has the potential to be a market leader within its industry sector;
The company is in wealth creation mode and is seeking growth opportunities within the next 12 months;
The key executive/s are seeking the knowledge and networks to evolve their business to the next stage;
Executives are open to new ideas and thinking.

Confidentiality

Any information about a company’s financial position, history and growth strategies will only be used by Western Australian Leaders for the purposes of selecting the Western Australian Leaders Executive Leaders Members, and will be stringently treated as commercial-in-confidence. Any contact details may be provided to Industry Experts, Industry Partners, Regional Members and Alumni Members of Western Australian Leaders.

Privacy

The Western Australian Leaders Privacy Policy can be viewed by following the relevant link at the footer of this page. Further clarification on any aspect can be provided by contacting Western Australian Leaders using the details provided at the bottom of this page.

Declaration

By submitting this expression of interest, the applicant declares that:

All information provided is true and correct;
You agree to abide by the terms and conditions of expression of interest noted on this page;
The company is free from legal investigation and is compliant with all Acts, Ordinances, Regulations and By-Laws, Orders, Awards, Licenses, Permits, Approvals and Requirements in respect to the operation of the company.

Expression of Interest : Executive Series

Executive Leaders Series Application

Part A: Background Company Information

Part B: Company Details

Eligibility

Confidentiality

Privacy

Declaration

Expression of Interest

WA Leaders - North Metro

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