Expression of Interest - Youth Council

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* 1. Contact Details

Name *

Address *

Address 2

City/Town *

State *

Postal Code *

Email Address *

Phone Number *

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* 2. Organisation (business, community, or other if applicable)

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* 3. What are your motivations for putting forward an expression of interest for this committee?

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* 4. If successful, how will you ensure that you are representative of your community/organisation; and how will you share relevant information with that community/organisation?

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* 5. What community group/s do you represent and what is your role within them? (eg. volunteer work, sport, creative arts, Scouts/Guides, cadets etc). Highlight any experience or interest you have with the Youth Council projects or similar.

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* 6. Can you please outline your understanding of the issues facing Young People in the Dubbo Local Government (LGA)?

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* 7. What is your date of birth?

Date of birth

Date

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* 8. Is there any other information that you believe is relevant to your application?

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* 9. I have read Council's Code of Conduct (available on Council's website), and agree to abide by it should I be successful.

Yes

No