Critical information before you begin

  • Please ensure you have read the Key Information Pack and FAQ (PDF 753.2KB) prior to commencing.
  • Ensure you have the correct email addresses for your manager, manager +1, and your HR representative (this can be found in your nomination invitation email).
  • Ensure you have an updated copy of your CV ready to upload as either a Word document or pdf file.
  • This form cannot be saved prior to submitting. Save your long-form answers in a Word document to ensure content is not lost.
  • Allow plenty of time to complete this form. We recommend one hour.
  • Scroll down the page first, to gain an idea of what questions will be asked.
  • After you submit, remember to follow up with your manager to ensure they complete their online form. It is your responsibility as the nominee to ensure your manager and manager +1 complete their forms within the timeframe provided.
  • Once your manager has completed their online form, your manager + 1 will need to endorse your nomination.
  • All data collected in this form is used for the calibration and selection of participants, and to create participant profiles for those who successfully enter the program.
  • Character limits indicated are inclusive of spaces.

Leading Executives Nomination Form – Part 1: To be completed by Nominee

Personal details

Guidance: If your per annum salary package is not within the per annum range above ($178,850 to $320,900), you may not be eligible for the Leading Executives program. If this is the case please call the NSW Leadership Academy team on 9272 6089 or email:

Ongoing employment* - required

Guidance: This program is a significant investment in your development. As such, only staff employed on an ongoing basis are eligible. This information will be verified with your HR department.

Term employment* - required

Guidance: It is expected that the minimum requirement for entry into the Leadership Academy’s programs is 12 months at your current level or equivalent.

Your GEN will be used to create your login and profile for the Leadership Academy online learning platform. If you do not remember your GEN, you can locate it in your  Identity Hub profile. For instructions please read How to reset your Identity Hub password (DOCX 514.7KB). If you are still unable to access your GEN or need to be issued with a GEN, contact

Do you speak English as a second language?
Do you have an EA / admin support? (to be used as a point of contact for scheduling)* - required

 The NSW Leadership Academy is seeking nominations for intakes 4 & 5 for the Leading Executives program. These intakes will be delivered concurrently between June 2017 and July 2018.

Work history

Guidance: For the Leading Executives program, in line with the work level standards for SE Band 2, the Academy is seeking nominees who: ‘are the principal, authoritative source of advice related to a specific area of knowledge or practice upon which the agency and Minister depend.’ 

Guidance: For example at interdepartmental committee meetings or working groups, and/or interjurisdictional meetings; Parliamentary Inquiries, and giving sworn evidence in Parliament. For the Leading Executives program in line with the work level standards for SE Band 2, the Academy is seeking nominees who: ‘take the lead in developing and managing key relationships… influence and advocate significant positions and strategies taking into account the Government sector core values, achieving sustainable solutions to complex issues through effective interaction and system collaboration.’ 

Information privacy
I certify that the information provided in this application is true and complete to the best of my knowledge.
Mandatory field(s) marked with *
After submitting this form, you should be directed to a confirmation page with guidance on the next steps in the nomination process. You should also receive email confirmation including a PDF attachment of the completed form. If you do not see the confirmation page, please review your form and ensure all fields are completed correctly. If you are still unable to submit your form, do not close the form, and contact or call 9272 6089.