2026 School Council Nomination

Please indicate which category you would like to nominate for:*

Parent MemberCommunity MemberSchool Employee

Name*

First NameLast Name

Email*

example@example.com

Phone:*

Residential Address (not PO box)*

Street Address

Street Address Line 2

CityState

Post Code

I am the parent / guardian of (student/s below) who is/are currently enrolled at Mount Beauty Primary School*

Student Name

I am an employee of the Department of Education & Training*

YesNo

I am an employee of the School Council*

YesNo

I am engaged in work at and for the school*

YesNo

I have a current Working with Children's Check (from 2026, all school council members, except VIT registered teachers and students, are required to hold a current WWCC)*

YesNo

I am prepared to serve as a parent member of Mount Beauty Primary School Council.

I hereby declare that:

•    I am not and have not been insolvent under administration within the last three years

•    I am of sound mind

•    I have not been found guilty of an offence that is, or would if committed in Victoria be, an indictable offence

•    I am not a registrable offender within the meaning of the Sex Offenders Registration Act 2004.

•    I am not suffering from any medical condition that would affect my ability to perform the role of member of a school council.

Signature of candidate*

Date*

Date

Please verify that you are human*