Name: Date of Birth:

Parent/Guardian name: Phone Number:

Address:

An ever evolving program that seeks to strengthen and nurture young people through professional and personal empowerment.

2019 Magic Moments. Youth Leadership and Business Summit.

Student application form.

bendigobank.com.au

Briefly explain why you would like to attend the 2019 Magic Moments Youth Leadership and Business Summit?

Describe your interests/passions/goals in life.

What does being a leader mean to you?

Have you completed any volunteer work in your community? If so please explain.

What do you hope to gain from this summit?

How do you see your attendance at the summit benefiting your community?

Your privacy: We are committed to ensuring your privacy is protected and understand your concerns regarding the confidentiality and security of personal information you provide to us. We collect and use your personal information in order to provide you with financial products and services. To do that, we may disclose your personal information to other organisations within the Group, including alliances and joint venture partners. The Group’s Privacy Policy (which also applies to Community Bank® branches and Franchise branches) is available upon request at any of our branches, on the Bendigo Bank website at www.bendigobank.com.au Bendigo and Adelaide Bank Limited ABN 11 068 049 178. AFSL 237879.

Terms & Conditions: You need to be aged 14-17 years old, have parental permission and be available to travel to Sydney from 5 July to 9 July 2019 during the July school holidays. Bendigo and Adelaide Bank Limited ABN 11 068 049 178 AFSL/Australian Credit Licence 237879 (A1177218-1178968) (04/18)

Please return this completed form along with any other documentation you may like to include to your teacher or Principal. You may wish to include awards, certificates, school reports etc (Please ensure these are photocopies and not originals).