Committee Nominations Committee Nominations Committee Nominations Applicant Name * Address * Phone * Email * Select which Committee and/or Reference Group you would like to nominate for * Community Safety & Crime Prevention Committee Townscape Reference Group Collie Environmental & Waterways Reference Group Disability Access and Inclusion Reference Group Events and Awards Reference Group (formerly Australia Day and Sports Awards Members are encouraged to apply) Please provide a reason for your nomination/s. Outline any experience, knowledge and skills that could strengthen your contribution to the Committee or Reference Group: * Nominee application terms and conditions * I acknowledge that the information contained in this form is true and accurate. I understand the Terms of Reference and role of the subject committee, advisory or working group. Captcha Submit If you are human, leave this field blank.
