Name Position Telephone Mobile 1.3 Location In region is the local government located? Gascoyne Peel ☐ Goldfields-Esperance Pilbara ☐ Great Southern South West ☐ Kimberley Wheatbelt ☐ Mid West 1.4 How will the scholarship recipient’s involvement in the course support your local government’s strategic community plan and/or corporate business plan and how will it benefit the community more generally? Section Two Course Details – 2.1 Course Details Name of Institution Campus Location
Name Position Telephone Mobile 1.3 Location In region is the local government located? Gascoyne Goldfields-Esperance Great Southern Kimberley Mid West Peel ☐ Pilbara ☐ South West ☐ Wheatbelt ☐ 1.4 How will the scholarship recipient’s involvement in the course support your local government’s strategic community plan and/or corporate business plan and how will it benefit the community more generally? Section Two – Course Details 2.1 Course Details Name of Institution Campus Location
CLGF_Community_Development_Scholarship_Program_Application_Form.DOCX