Tyabb Airfield EOI

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* 1. Name:

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* 2. Address:

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* 3. Phone (business hours):

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* 4. Email:

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* 5. What is the community interest or area that you propose to represent?

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* 6. What are the important issues and opportunities (from the perspective of the interest or area that you propose to represent) that you believe should be explored and considered through the CRG process?

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* 7. Please list any relevant community/stakeholder groups or organisations to which you already belong and/or any other evidence of your networks and ability to act as a channel for communication for the interest or area that you propose to represent.

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* 8. Please list any other interests that may be relevant to your participation on the CRG – for example are you are resident of the area, do you or those close to you own property or a business in the area, have you previously been a member of a community or industry group that is based in the area, do you have aviation experience? etc. (NB, it will be important that all CRG members declare interests relevant to the CRG’s discussions so it is clear what may be informing or influencing each members’ participation in the group This will help ensure broad coverage of as many affected interests as possible and alert the group to any circumstances that might reasonably be perceived as preventing members from being able to meet the expectations regarding the conduct of members as set out in the Terms of Reference).

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* 9. Please indicate your availability to attend CRG meetings during the week (i.e. what times and days would you be able to attend meetings), and any other requirements that you may have in order to attend CRG meetings. Please Note: the first meeting of the CRG is scheduled for the late afternoon/evening of Thursday 14 June, with the exact time to be determined once the membership of the CRG is established.

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* 10. 1. Would you be prepared to (please tick the appropriate box)?

	Yes	No
a) Have a contact phone number published to enable people with a similar interest to contact you?	a) Have a contact phone number published to enable people with a similar interest to contact you? Yes	a) Have a contact phone number published to enable people with a similar interest to contact you? No
b) Be willing to have people with a similar interest referred to you – but without your contact details being generally available?	b) Be willing to have people with a similar interest referred to you – but without your contact details being generally available? Yes	b) Be willing to have people with a similar interest referred to you – but without your contact details being generally available? No
c) Be willing and able to commit the time to prepare for, attend and contribute to CRG meetings at approx. 6 to 8-week intervals (at least initially).	c) Be willing and able to commit the time to prepare for, attend and contribute to CRG meetings at approx. 6 to 8-week intervals (at least initially). Yes	c) Be willing and able to commit the time to prepare for, attend and contribute to CRG meetings at approx. 6 to 8-week intervals (at least initially). No
d) Work cooperatively and constructively with other members of the CRG and to respect the diversity of views represented on the group?	d) Work cooperatively and constructively with other members of the CRG and to respect the diversity of views represented on the group? Yes	d) Work cooperatively and constructively with other members of the CRG and to respect the diversity of views represented on the group? No

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* 11. Please feel free to attach any additional information to clarify any of your responses from above and/or provide additional information about relevant skills, experience, knowledge and personal qualities that you could bring to the group.

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