Hindmarsh Pride Committee EOI Form

Hindmarsh Pride Committee Expression of Interest Form
Hindmarsh Shire Council is seeking Expressions of Interest from members of the community for the newly formed Hindmarsh Pride Committee.

The Hindmarsh Pride Committee (formerly called LGBTIQ+ Reference Group) will provide advice to ensure Council’s broader policy issues and Council Plan and programs reflect the interests of the LGBTIQ+ community.

Council is seeking expressions of interest for volunteer committee members representing the LGBTIQ+ community to meet four timers per year.

PRIVACY STATEMENT

The personal information you have provided in this form may be required to be published in a Council Report as it relates to a Council decision. The matter may be considered confidential, as defined in section 3 of the Local Government Act 2020, but may be published in the Council Meeting Agenda and Minutes as well as being accessible in the meeting live-stream and published meeting recording.

We will handle any personal information you have provided in this form in accordance with the Privacy and Data Protection Act 2014. Our privacy policy contains information about how you may access your personal information and seek correction of such information; as well as how to complain about a breach of the Australian Privacy Principles and how we will deal with such a complaint. For more information, please see our Privacy Policy or contact our team on (03) 5391 4444. Your personal information will not be disclosed to any other party unless Council is required to do so by law, has gained your consent to do so or an information privacy principle exemption applies.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

TownState

Post Code
Phone Number*
Format: (000) 000-0000.
Email Address*
example@example.com

Key Selection Criteria

Interested community members should address the key selection criteria below to assist the panel to make a recommendation to Council for endorsement.
Live, work or study, or have a relevant connection with Hindmarsh Shire:*

0/200
Knowledge and understanding of the needs and issues relevant to the LGBTIQ+ community:*

0/200
Capacity to analyse information and provide advice on issues affecting the LGBTIQ+ community:*

0/200
Willingness and ability to assist with promotion and organisation of days of significance and events:*

0/200
Willingness and ability to engage in open and respectful discussions that add value to the Reference Group and liveability of the Hindmarsh LGBTIQ+ community:*

0/200
Availability to attend 80% of meetings scheduled throughout the year:*

0/200
A panel will consider all applications and make recommendations to the Council meeting being held on 26 October and you will be notified of the outcome following this meeting.

Applicants may be contacted if further information is required.
Please note:
If you are elected to be a member of the Hindmarsh Pride Committee, you are required to become a volunteer for Council. All volunteers for Council are required to complete a Volunteer Registration Form, Volunteer Working with Children Check and Police Check prior to commencing any work on behalf of Council.
Yes
Should be Empty:

Hindmarsh Pride Committee Expression of Interest Form