Coastal Advisory Group - Expression of Interest (Original Survey)

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* 1. Privacy Statement: The information you provide on this form is being collected by the Mornington Peninsula Shire in accordance with its Privacy Policy, the Privacy and Data Protection Act 2014 and the Health Records Act 2001. The Shire is collecting this information for the purpose of short-listing potential candidates for the Mornington Peninsula Shire Coastal Advisory Group. The information will be used by the Shire for this purpose and it may be used for a related secondary purpose. You may access information you have provided to the Shire at any time and make corrections if you believe that information is incorrect. The Shire’s Privacy Policy can be viewed on the Shire’s website at www.mornpen.vic.gov.au.

I understand the privacy statement.

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* 2. What is your name?

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* 3. What is your contact number?

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* 4. What is your current address?

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* 5. What is your email address?

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* 6. How are you connected with the Mornington Peninsula Shire?

Resident

Work on the Peninsula

Other (please specify)

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* 7. Do you agree to abide by the conditions and expectations outlined in the Coastal Advisory Group Terms of Reference? Please check the appropriate box below:

Yes

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* 8. Have you previously been appointed to a Foreshore Advisory Group?

Yes (if yes, which group?)

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* 9. Which group would you like to be considered for membership?

Flinders Coastal Advisory Group (5-9 Members)

Hastings Coastal Advisory Group (5-9 Members)

Mornington Coastal Advisory Group (5-9 Members)

Mount Martha Coastal Advisory Group (5-9 Members)

Mount Eliza Coastal Advisory Group (5-9 Members)

Portsea Coastal Advisory Group (5-9 Members)

Rosebud Coastal Advisory Group (5-9 Members)

Rye Coastal Advisory Group (5-9 Members)

Safety Beach Coastal Advisory Group (5-9 Members)

Sorrento Coastal Advisory Group (5-9 Members)

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* 10. What skills, local knowledge and/or relevant expertise and experience do you hold?

Knowledge of local coastal or natural environments

Knowledge of community interests and needs

Coastal ecology and processes

Coastal engineering

Environmental management

Aboriginal cultural heritage

European heritage

Community liaison, education and/or training

Sport and recreation

Meeting procedures and administration

Business management

Asset management

Other (please detail more information)

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* 11. What is your interest in becoming a Coastal Advisory Group member?

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* 12. What contribution do you believe you can make to the Coastal Advisory Group?

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* 13. What do you think are the most important issues facing the Mornington Peninsula coast and local foreshore?

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* 14. How do you think these issues are best addressed?

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* 15. Are you aware of what legislation, strategies and policies that need to be considered when planning and managing coastal and marine areas?

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* 16. Please provide an example that demonstrates your ability to participate cooperatively in a team with a range of different people.

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* 17. Please list any relevant qualifications and/or experience.

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* 18. Please list any community interests and/or organisational affiliations.

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* 19. Please detail any potential or perceived conflicts of interest that may impact on your appointment or performance as a member.

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* 20. Do you have any other information that may support your application - including possible referee contact details? These referees must be aware of your knowledge and expertise relevant to the Coastal Advisory Group member role.

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* 21. I declare that the above is true and correct and that I have not knowingly provided false or misleading information.

Yes, I have truthfully provided information.