To be a member of the City’s Urban Greening Advisory Group, you must be an elector (be on the electoral roll) of the City of South Perth.

Nominations close at 4pm, Tuesday 28 April 2026.

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* 1. Before you proceed any further with your nomination, please confirm that you meet the following criteria:

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* 2. First name

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* 3. Surname

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* 4. Address

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* 5. Contact number

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* 6. Email address

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* 7. Age group

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* 8. How would you describe your gender?

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* 9. Were you born in Australia?

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* 10. Do you ever speak a language other than English at home?

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* 11. Do you identify as Aboriginal or Torres Strait Islander?

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* 12. Do you have a disability, or do you care for a family member with a disability?

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* 13. Which situation best describes you?

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* 14. If you are working or volunteering, which industry do you work in?

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* 15. Please tell us why you want to join the Urban Greening Advisory Group.

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* 16. What skills and experience will you bring to the Urban Greening Advisory Group?

Thank you for your interest in joining the Urban Greening Advisory Group.

The final decision on membership will be made by the CEO of the City of South Perth.

Nominees under 18 must have their nomination reviewed and signed by a parent, guardian, or responsible adult.

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* 17. By signing this form, I declare that all information is true and correct.

Please type your name for signature.

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* 18. Please enter today's date

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* 19. I confirm that I am the parent, legal guardian, or responsible adult of the nominee named above and that I approve their nomination and participation.

Name (please type your name for signature)

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* 20. Relationship to nominee

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* 21. Email address

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