Expression of Interest | Your Say Macleay

1.

What is your name

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2.

What is your contact phone number?

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3.

Your Age

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18 24

25 - 34

35 - 44

45 - 54

55 - 64

65 - 74

75 years and older

4.

Email Address

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5.

Name of your suburb

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6.

Please outline your reasons for nominating to join the committee

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7.

Please outline your experience in working cooperatively and constructively in groups where diversity of opinion is both encouraged and respected.

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8.

How will you provide a positive contribution to the Australia Day Awards Committee? For example, do you have specialised skills, qualifications, expertise. knowledge, experience or interest in this area ?

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9.

Do you agree, if selected, to make reasonable efforts to attend and participate in meetings of the Australia Day Awards Committee and abide by Council's code of Conduct and the Australia Day Awards Committee Charter ?

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