Expression of Interest
Sport and Active Recreation Advisory Group
Name:
First Name
Last Name
E-mail Address:
example@example.com
Phone Number:
Address:
Street Address
Street Address Line 2
Town
State
Post Code
Background Information & Declaration
With reference to the Sport & Active Recreation Advisory Group – Terms of Reference, most specifically the criteria for community membership, please set out in a statement (below or attached) the knowledge, experience and qualities that you would bring to the Sport & Active Recreation Advisory Group (max 500 words).
Please list the groups you are currently associated with or involved in:
Please separate entries with a comma.
Declaration : I have read and understood the Sport & Active Recreation Advisory Group – Terms of Reference.I understand my background information statement will be distributed to the appointed Councillor - Sport & Active Recreation Advisory Group members, who will make the community member appointments. All information included as part of this expression of interest is true and correct. I agree to abide by the conflict of interest and confidentiality requirements and guiding principles of the Sport & Active Recreation Advisory Group – Terms of Reference:
*
Type your name here as your signature and declaration.
Submit Application
Should be Empty: