Board Member EOI

Board Member Expression of Interest
Introduction

Thank you for your interest in joining the Woorayl Lodge Board.

Woorayl Lodge Inc is a community-owned, not-for-profit aged care organisation committed to providing quality care and services to older people in South Gippsland.

Please complete the Expression of Interest below. Applications will be reviewed by the Board following the closing date.

Personal Details
Name

First NameLast Name
Preferred name
Optional
Email
example@example.com
Mobile Number
Residential Address

Street Address

Street Address Line 2

TownState

Post Code
Is your residential address different to your postal address?
Postal Address

Street Address

Street Address Line 2

TownState

Post Code

About You
Please provide a brief summary about yourself and why you are interested in joining the Woorayl Lodge Board.

Other
Are you able to attend monthly Board meetings in person in Leongatha?
If mostly, please comment
Please upload your current resume

Cancelof
You may also upload a brief cover letter if you wish.

Cancelof

Declaration
Signature
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate

References
Please provide the details of two referees who have known you for at least two years and are not family members. At least one referee must be a professional referee. Referees will be contacted as part of the selection process.
Reference 1 Name

First NameLast Name
Reference 1 Email
example@example.com
Reference 1 Contact Number
Reference 2 Name

First NameLast Name
Reference 2 Email
example@example.com
Reference 2 Contact Number
Should be Empty: