School/Organisation (required)

Address (required)

Website

School Principal/Organisation Leader (required)

Principal/Organisation Leader's Contact Number (required)

Principal/Organisation Leader's Email (required)

Your Name - Organisation Coordinator for the NEXT GEN GLS (required)

Your Role (required)

Your Email (required)

Your Contact Number (required)

Who is the target audience for your NEXT GEN GLS? (required)
Year 8Year 9Year 10Year 11Year 12Young AdultsOther

Anticipated attendance? (required)
—Please choose an option—0-5051-100101-150151-200201-350351-500501+

Proposed Date (required)

Have you or any of your leadership team attended a premier Global Leadership Summit or NEXT GEN GLS in the past?
YESNO

If yes, location of attended GLS or NEXT GEN GLS.

In a few sentences please share why you wish to host a NEXT GEN GLS at your location (required)

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