This should be the email you want to use to receive communication from Leadership Victoria.
Please provide a backup phone # and indicate if this is home, work, or cell phone.
Who should we contact in case of emergency at the retreat, learning days, or other LV events? (Name)
Cell phone preferred!
We use caterers to provide most of the food for our functions. Please indicate any dietary restrictions or allergies that should be passed on to our caterers.
Is there any other information that our team should know about to keep you safe and healthy while participating in Leadership Victoria functions? This will be provided to event leads.
Orientation is your opportunity to meet your fellow participants and many of the volunteers who make this program work. We will be giving you pre-retreat assignments and explaining what to expect from the year ahead.
We'll be going to the Cowichan Lake Outdoor Education Centre for our leadership retreat, Sept 22-24. Please make a note here if you are able to provide a ride for a fellow participant, or would like us to connect you with someone who's able to offer a ride.
Please upload a "profile picture" of yourself. This should be something that we can include in a package for participants and our program team to help with remembering names. It should show your face clearly. Maximum size 3MB.
Accepted file types: jpg, gif, png.
Share a quote with us that inspires you as a community leader. This will be posted with your profile picture at the start of the retreat to help everyone get to know each other.
Please provide a short bio to help your fellow participants get to know you better. Where do you work, what's your educational/work background, and what do you like to do in the community?
This field is for validation purposes and should be left unchanged.