Campaign HQ Registration

Plan your life’s campaign

3-8 July 2016

Lots of people have tried to change the world. A few people have.

If you want to make a difference, you’re going to need a plan.

What does success look like? What are you prepared to compromise to achieve your goal?

Join us at Campaign Headquarters for a life-transforming week as we look at how to make a real difference through your life’s work.

At CHQ we’ll be exploring how to think biblically about some of our nation’s greatest challenges. You’ll experience what it’s like to be part of a team of young Christians committed to fostering a more just and compassionate society. And you’ll be challenged to set a course through the narrow gate on the road to achieving your life’s work.

Campaign HQ is a limited and exclusive opportunity for young Christians setting out to make a difference through politics and public policy. Throughout the week you’ll get to strategise with some of the greatest minds in Australia. You’ll attend briefings and participate in round tables as you distil your life’s plan – identifying goals, making plans and setting boundaries for a life that will make history.

Don’t miss your chance to experience this life-changing week.

Register Now!

Registration cost: $300.00.
Campaign HQ is aimed at people 18-28 years of age.

Title
Gender*
First name*
Surname*
Date of birth*
Phone*
Email*
Street address*
Suburb*
Post Code*
State/Territory*
Country*
Conditions/Medical Requirements*
Emergency Contact Name*
Emergency Contact Address*
Emergency Contact Relation*
Emergency Contact Phone*
University Attending/Attended
(Expected) Date of Graduation
Degree(s)
High School
Religious Denomination
Church Attending
Role or service within Church
Position/Occupation
Current Employer
How did you find out about LMI/ACL Gap Week?
Will you seek financial sponsorship for the course?
Nominee’s Main Area of Interest
Short Answer Questions

Please answer the questions below in no more than 250 words each question:
1. Why do you wish to attend ACL Gap Week?
2. Briefly explain your faith journey.
3. What is your interest in politics and public policy?
1st Referee Name
1st Referee Relationship to applicant
1st Referee Phone Number
1st Referee Email Address
2nd Referee Name
2nd Referee Relationship to applicant
2nd Referee Phone Number
2nd Referee Email Address

Campaign HQ Registration

Plan your life’s campaign

3-8 July 2016

Register Now!

Short Answer Questions