Community Asset Committee Membership Application Form

1 Purpose

Hindmarsh Shire Council is inviting interested residents to apply for a voluntary appointment on the following Community Asset Committees for a 2-year term (from 1 July 2026 until 30 June 2028):

Wimmera Mallee Pioneer Museum
Yurunga Homestead

The key roles and functions of Community Asset Committees are to:

Control, manage and maintain the land and facilities in an efficient and effective manner, in the best interests of Council, residents and users of the facilities within the boundaries specified in the Instrument of Delegation.
Maintain the highest level of cooperation between the Council, the Committee, and the local community.
Promote interest in the facility.
Apply procedures, rules and conditions of use necessary for the proper use of the facility.
Ensure that these procedures, rules and conditions of use must be consistent with the objectives of the Committee stated in the Instrument of Delegation, these guidelines, and any policies of the Council.
Report any breaches of rules, conditions of use and local laws, which cannot appropriately be dealt with by the Committee to the Council.
Ensure compliance with all Acts, Regulations, and other legal requirements at the facility.
Not commit, or permit to be committed, any act which will have a negative impact on any of the Council’s insurance policies.
Ensure the facility is always kept in a clean condition and is used in a reasonable and lawful manner by all groups and individuals.

2 Selection Criteria

Applications will be assessed against the following criteria:

Be at least 18 years of age or older;
Are not insolvent (unable to pay debts as they become due and payable);
Have not been convicted of any indictable offence (a serious crime that is tried by a judge);
Have not been convicted of fraud (convicted by a court of obtaining of material advantage by unfair or wrongful means or an intentional dishonest act done with the purpose of deceiving);
Have not committed any other act or omission that might render or be seen to render them unfit for them to be a member of the Community Asset Committee
Nominees to the Community Asset Committee should not have criminal convictions, financial or taxation dealings that might render or be seen to render them unfit for office.

Applications will be accepted until 5:00pm Friday 22 May 2026.

3 Application Details

Please indicate which Community Asset Committee you wish to nominate yourself for?*

Wimmera Mallee Pioneer MusuemYurunga Homestead

Please describe what you can bring to the Committee, ensuring you respond to the Purpose and Selection Criteria in your answer:*

0/200

Full Name:*

First NameLast Name

Email Address:*

example@example.com

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Address*

Street Address

Street Address Line 2

TownshipState

Post Code

Please indicate if you have any accessibility issues that Council can assist with

If your application is successful, you will be required to register as a volunteer of Council (if you have not already done so) and complete a Police Check. You may also be required to complete a Working with Children Check.

I understand the above and consent for my name to be included in the report taken to Council on Wednesday 3 June 2026*

Yes

Signature

The personal information requested on this form is being collected to enable Council to consider the application. Council will use this information for this purpose or one directly related and may disclose this information to our contractors or other agencies as required by law in accordance with the Privacy and Data Protection Act 2014.

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