Access Advisory Working Group - Expression of Interest form

1.  

Your name

2.  

Organisation: (NA if applying as an individual community member)

3.  

Your phone number

4.  

Your email

5.  

Which members of our community do you most passionately represent? i.e. Youth, Indigenous, people with disabilities, mothers/parents?

6.  

From your experience, what do you see as the most important issue/s impacting people within the Armidale Regional Council area with regard to accessibility?

7.  

Please tell us which interagencies, community groups and/or organisations you are a member of, or connected to (if any).

8.  

Membership on this committee will require you to take time gathering information to feed back to the Access Advisory Working Party and the Community Wellbeing Advisory Committee. Do you have the capacity to take on this extra responsibility?

11.  

Please tell us briefly why you are applying to be a committee member of the Community Wellbeing Advisory Committee.