2025 Nominations Form - Board Director Candidate Expression of Interest

Date of Form submission:

DayMonthYear
Board Director Expression of Interest

Please use this form to express your interest to stand as a candidate for the Landcare NSW Board.
Landcare NSW Limited is the peak body for community Landcare in NSW. The primary purpose of the organisation is to serve as a ‘resource advocate’ to ensure that the thousands of Landcarers in NSW have all they need to care for our land, environment and communities.
YOUR CONTACT DETAILS
Name*

First NameLast Name
Normal residential address*

Street Address

Street Address Line 2

CityState

Postcode
Phone Number (Mobile or Landline)*
Format: 0000 000 000.
E-mail Address*
Director Identification Number*
Are you a current member of any land/bush/river care group?*

YesNoOther
If yes, provide details
YOUR EXPERIENCE
Landcare/Natural Resource Management experience (tick all that apply)*

Agricultural/Agribusiness professionalHave served on a Landcare NSW District Network CommitteeHave served on a Landcare NSW Regional Committee (please note that if you are a current member, you will be required to resign from the Committee if you are elected)Member of a local or special purpose Landcare NSW member groupNatural Resource Management professional experienceNone of the aboveOther
Governance expertise and experience (tick all that apply)*

AICD, Governance Institute or ICDA trainingCEO experience reporting to a BoardLegal or governance consulting experiencePrior board experience (not-for-profit/private sector/government board or agency)Report from CEO to Board/or Board to CEO experienceNone of the aboveOther
Technical skills/experience - Please tick the technical skills/experience you will bring to the Board of Landcare NSW Ltd.*

Accounting/Auditing/Financial managementBiosecurityBusiness DevelopmentCommunity development experienceCommunity development particularly among Aboriginal or Torres Strait Islander communitiesCorporate PartnershipsCyber SecurityFundraising/philanthropyGovernment relationsInformation communication technology/digitisationHuman resource/culture skills and experienceKnowledge of or work in government/political experienceLegal and governanceMarketing and communicationsNot-for-profit (NFP) experienceOperational/corporate managementResearch and DevelopmentRisk managementStakeholder engagementStrategy and/or commercial experienceSustainable agricultural skills and experienceOther
Any other comments:
PERSONAL ATTRIBUTES
Language – Do you speak a language other than English at home?*

YesNo
If Yes, Specify:
Country of origin – What country were you born in? Please specify:*
Aboriginality – Are you an Aboriginal or Torres Strait Islander?*

YesNo
Gender – What is your gender?*

FemaleMalePrefer not to say
Date of Birth:*

DayMonthYear
Landcare NSW Constitution:

https://landcarensw.org.au/wp-content/uploads/2025/11/Landcare-NSW-Limited-Constitution-17-November-2025.pdf

Please see below for further detail:

https://landcarensw.org.au/board-directors/

https://landcarensw.org.au/governance/
PROBITY QUESTIONS
1. Do you support the purpose and constitutional objects of Landcare NSW Limited?*

YesNo
2. Do you consent to serving as a director of Landcare NSW Limited for a three-year term?*

YesNo
3. Are you an employee of any Landcare organisation in NSW or an employee of the NSW Landcare Program?*

YesNo
4. Have you ever been found to be ineligible to serve as a Company Director under the Corporations Act (Cmwth 2001) or the ACNC Act?*

YesNo
5. Do you consent to formal third party probity checks, including a Director check, Police check and Social Media check?*

YesNo
6. Have you ever been refused a working with children authorisation?*

YesNo
7. Have you ever published or made public statements that would be contrary to the purpose and objects of Landcare NSW?*

YesNo
CANDIDATE STATEMENTS
A. Why are you seeking to serve Landcare NSW Limited as a director? [maximum 500 words] *

0/500
B. What do you hope to contribute to the Board of Landcare NSW Limited if you are elected? [maximum 500 words] *

0/500
File Upload - Please upload a head shot photo of yourself to accompany your candidate statement on the Landcare NSW website (jpg image). You are welcome to upload your Candidate Statements as attachments here.*

Cancelof
File Upload - Please upload a current copy of your CV:*

Cancelof
REFERENCES
Referee Contact
CONSENT
I seek nomination as a Director of Landcare NSW Limited and certify that the above information is true and correct.
Candidate name:*

First NameLast Name
Candidate signature:*
Date

DayMonthYear
Date
Witness name:*

First NameLast Name
Witness signature:*
DayMonthYear
Please click submit to expression of interest, you can also send a copy or any supporting documents by emailing nominations@landcarensw.org.au
Should be Empty:

Board Director Expression of Interest