Do you want to be a community representative on one or more of the City of Rockingham Advisory Committees? If you think you have what it takes to make a positive contribution, apply here.

Submissions must be received on or before 20 September 2024.

If you want to apply to more than one committee, you will need to complete a separate form for each committee.

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* 1. What is your full name?

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* 2. If you are representing an Association or Organisation only.
What is the name of the Association or Organisation you are representing?

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* 3. If you are representing an Association or Organisation only.
What is your position title at the Association or Organisation you are representing?

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* 4. What is your telephone or mobile number?

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* 5. What is your email address?

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* 6. What is your home address (for community members) or the address of the Association or Organisation that you represent?

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* 7. Select the Advisory Committee you wish to apply for.

If you want to apply for more than one committee, you will need to complete a separate application for each one.

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