Nomination for Community Asset Committee

Nomination for Community Asset Committee
Council is keen to ensure that each Community Asset Committe is representative of a balance of interests and views from the communites the Committee serves.

Please use this form to nominate for appointment to a Community Asset Committee. You will be notified of the outcome of your nomination using the contact details you provide.

Appointment to a Community Asset Committee is subject to Council approval.
Name of Community Asset Committee
Name

First NameLast Name
Address

Street Address

Street Address Line 2

TownState

Post Code
Email
Contact Number

Area CodePhone Number
Mobile
Are you a returning member to this committee?

YesNo
If you are representing another community group on this Community Asset Committee please tell us which group.
What skills and experience do you bring to this role?
By ticking this box and submitting this form you are agreeing that all the information you have included on this form is correct.*

Yes I agree
Should be Empty: