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)*
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/2025/06/Constitution-Landcare-NSW-Limited-V3-2025-June-3-.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
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:*

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Date

DayMonthYear
DayMonthYear
Witness name:*

First NameLast Name
Witness signature:*

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Please click submit to expression of interest, you can also send a copy or any supporting documents by emailing nominations@landcarensw.org.au
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Board Director Expression of Interest