Stakeholder Engagement List

Question Title

* 1. I would like to register for engagement opportunities!

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 2. I am interested in

Environmental Watering

Citizen Science

Committees

Land Care

All of the above

Question Title

* 3. Would you like to be involved in the development of our Community-Led Action Plan?

Yes

Question Title

* 4. I give permission for my photo / audio / visual recordings to be used by Mallee Catchment Management Authority to publicise projects, events and for use in the future for other purposes.

Yes

Terms and Conditions of Consent

By agreeing to the Authority using photos/audio visual recordings in which you may appear, you will consent to the use of the photos/audio visual recordings without any personal compensation or remuneration. You will forgo any rights to the photographs/audio visual recordings including moral rights and copyright.

The Authority agrees not to use any photos/audio visual recordings in a manner that may be deemed adverse or defamatory to the person providing permission, and it will not use the photos/audio visual recordings for any commercial gain. The Authority further agrees not to provide these photos/audio visual recordings to any other government agencies for their use without express permission from you. the photos/audio visual recordings will be kept confidential and will not be used for any purpose other than related to these photos/audio visual recordings.

Privacy and Data Collection Notice

Mallee CMA values, and is committed to, protecting your privacy. We handle your personal information in accordance with the Privacy and Data Protection Act 2014 and other applicable legislation.

Your personal information is being collected in order to:

· Subscribe to our Engagement Register, be made aware of and given the opportunity to participate in your nominated interest area.

Other than as permitted by law, Mallee CMA will not disclose or use personal information for any purpose other than that for which it is collected.

If you have any questions about how your personal information will be handled or would like to gain access to your personal information, you can contact Mallee CMA on 03 5051 4377 or foi@malleecma.com.au.