Skip to content
FuturesPlan20 Community Panel registration
2.
City of Canada Bay FuturesPlan 20 Panel registration
Complete this registration form to join the City of Canada Bay FuturesPlan 20 Panel.
*
1.
Please tell us about yourself, or the organisation you represent:
(Required.)
Name:
*
Company:
Address:
*
Address 2:
City/Town:
*
State:
ZIP/Postal Code:
Email Address:
*
Phone Number:
*
2.
Please tell us your preferred method of receiving information from Council in your capacity as a panel member:
(Required.)
Hard copy (mail)
Soft copy (e-mail)
*
3.
Please tell us your age
(Required.)
Under 18
18-29
30-39
40-49
50-59
60-69
Over 70
*
4.
Please tell us your gender
(Required.)
Male
Female
*
5.
Primary language spoken at home:
(Required.)
Arabic
Cantonese/Mandarin
English
Greek
Italian
Korean
Other (please specify)
*
6.
What is your interest in the City of Canada Bay: (resident, non-resident property owner, business operator, other)
(Required.)
I live here (rent)
I live here (own)
I own property in the City, but live elsewhere
I own or operate a business in the City
Other
Other (please specify)
*
7.
Household income per annum
(Required.)
Less than $39,999
$40,000-$59,999
$60,000-$79,999
$80,000-$99,999
$100,000-$119,999
More than $120,000
*
8.
Please indicate your areas of interest (select as many as you wish)
(Required.)
Community infrastructure
Council communications
Council management
Council services
Council's strategic planning
Cultural development
Development issues
Economic development
Global environmental issues
Library services
Local community facilities
Local environmental issues
Local transport
Open space management
Strategic land use planning
Traffic management
Other (please specify)
