Regional nomination to attend the facilitated session on the Landcare Enabling Program Adaptive Review

Regional nomination for Landcare Enabling Program Adaptive Review session.

Date: 4th March 2025; 9am-3pm

Location: Country Womens Association Munro-Sawyer room, Level 1, 244 Coward Street Mascot

Thank you for taking the time to nominate your regional representative to attend this facilitated session. To ensure the best experience possible for participants and outcomes from the session, numbers are limited to 20 participants. We are requesting one representative from each Local Land Services Region. A capped travel subsidy will be available for each region. Nominations can include funded roles, committee members, hosts or volunteers.

Please also nominate an alternate representative from your region as a back-up. Thank you.

Further details regarding the session will be sent out from landcare.admin@lls.nsw.gov.au soon and will also be available on Gateway so please keep an eye out for updates from the team.
Your Details (Person completing this form)
Name*

First NameLast Name
Phone Number

Area CodePhone Number
E-mail*
example@example.com
Name of Landcare organisation (local or regional)*
Your Landcare role? (funded role, committee member and host, or volunteer)
Nomination
Local Land Services region *
Are you self-nominating as the nominee?*

YesNo
Name of nominee*

First NameLast Name
Phone Number of nominee

Area CodePhone Number
E-mail of nominee*
example@example.com
Name of nominees organisation*
Landcare role of nominee? (funded role, committee member and host, or volunteer)*
Dietary requirements of nominee?
Alternate Nomination
Are you self-nominating as the alternate nominee?*

YesNo
Name of alternate nominee *

First NameLast Name
Phone Number of alternate nominee

Area CodePhone Number
E-mail of alternate nominee*
example@example.com
Name of alternate nominees organisation*
Landcare role of alternate nominee? (funded role, committee member and host, or volunteer)*
Dietary requirements of alternate nominee?
Please let us know below if there's any accessibility requirements that we should be aware of to assist your nominees to participate fully in the session.
Please add any other comments relevant to nominating representatives for the adaptive review
Should be Empty:

Your Details (Person completing this form)

Nomination

Alternate Nomination