TravelSupportProgram

Application Form

Please complete the application form, addressing each of the three selection criteria. Return the completed entry form toDEPI by 5pm on 26th August 2014, addressed to DEPI Young Farmer Coordinator and sent by email, post or fax:

E: | A:Private Bag 1, Ferguson Rd, Tatura, Vic 3616 | F: (03) 58335299

Applicant Details

Applicant name:

Address:

Mobile phone:Home phone:

Work phone:Fax:

Email:

Employment Details

Employer name (or self-employed):

Type of organization:

What industry sector do you work in?

Do you currently work in an export focused business? Yes or No

Are you a member (please select one): Victorian Young Farmers or Young Agribusiness Professionals

Referee Details

Name of 1st refereerelationship to applicant:

Address:

Work phone:

Home phone:

Mobile phone:

Fax:

Email:

Name of 2nd refereerelationship to applicant:

Address:

Work phone:

Home phone:

Mobile phone:

Fax:

Email:

Travel Support Program

Application Form

Legal

I acknowledge, and agree to, the terms and conditions of the Travel Support Program application, and commit that none of my pastactions will cause embarrassment to, or bring the Victorian Government and relevant agencies into disrepute:

Signature:

Name (please print):

Copyright Release: As a consideration of my application to the Travel Support Program, I grant the Department of Environmentand Primary Industries the ‘non-exclusive’ rights to publish materialgenerated from my involvement in the Travel Support Programand from the outcomes of the trade mission.

Key selection criteria

Filling in the application form

The Travel Support Program Application Form consists of three selection criteria and a total of five questions. Below,there is aspace for you to record your answers. Please observe the 200 word limit.

Selection Criteria One: Connecting with international markets and communicating with people of diverse backgrounds

Question 1: Please provide evidence of your ability to demonstrate cultural sensitivity and/or communicate with people fromdiverse backgrounds

Selection Criteria Two:Demonstrated interest in building Asian-export relevant skills

Question 2a:Please explain why you would like to develop your skills and expertise in export markets, specifically Asia. What areyou hoping to learn from participating in this trade mission?

Question 2b:What business outcomes do you hope to achieve by participating in this trade mission?

Selection Criteria Three:Building connections and sharing knowledge

Question 3a:What connections are you hoping to make from participating in the trade mission?

Question 3b:How will you communicate what you learn on the trade mission to other young people working or considering acareer in agriculture or agribusiness?

Selection Criteria One: Connecting with international markets and communicating withpeople from diverse backgrounds

1.Please provide evidenceofyourabilitytodemonstrateculturalsensitivityand/orcommunicatewith people from diverse backgrounds. (200 words)

2a.Please explain why you would like to develop your skills and expertise in export markets, specifically Asia. What are you hoping to learn from participating in this trade mission?(200 words)

2b.What business outcomes do you hope to achieve by participating in this trade mission? (200 words)

3a.What connections are you hoping to make from participating in the trade mission?(200 words)

3b.Building connections and sharing knowledge: How will you communicate what you learnon the trade mission to other young people working or considering a career in agriculture oragribusiness? (200 words)

© The State of Victoria Department of Environment and Primary Industries 2014

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