Cultural Infrastructure Strategy Submission Form

To assist in the completion of this form, please read the draft Cultural Infrastructure Strategy.

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* 1. What has been your involvement in this project?

Online survey

Stakeholder meeting

Stakeholder phone interview

I have not previously been involved

Other (please specify)

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* 2. What is your overall position in relation to the draft Strategy?

I support the draft

I support the draft but have some concerns

I do not wish to state a level of support

I do not support the draft

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* 3. Please share any comments you have on the draft Strategy

We want our engagement process to reflect the diversity of our community. Sharing information about who you are will help us ensure we have reached our diverse voices.

Not all questions are mandatory, but we do encourage you to answer them.

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* 4. First name

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* 5. Surname

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* 6. Email address

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* 7. Phone number

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* 8. Address

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* 9. Suburb

Attadale

Alfred Cove

Applecross

Ardross

Bateman

Bicton

Booragoon

Brentwood

Bull Creek

Kardinya

Leeming

Melville

Mount Pleasant

Murdoch

Myaree

Palmyra

Willagee

Willetton

Winthrop

Other

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* 10. What is your interest in this project (tick all that apply)

I am a resident

I am a ratepayer residing in the City of Melville

I am a ratepayer non-residing in the City of Melville

I study in the City of Melville

I own/operate a business in the City of Melville

I work or provide a service in the City of Melville

I am a visitor

I recreate in the City of Melville

I am part of a community group

I am employed at the City of Melville

Other (please specify)

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* 11. Would you like to be added to the Melville Talks eNews database?

Yes