Contact Details

First name *

Surname *

Address *

Suburb *

Postcode

Phone *

Business Phone

Email *

Mandatory Independence Criteria Questions

Are you currently a councillor of any NSW council? *

• Yes
• No

Are you currently a property developer? *

• Yes
• No

Are you currently a real estate agent? *

• Yes
• No

Selection Criteria

Are you a current resident within the Hawkesbury Local Government Area? *

• Yes
• No

Please outline your understanding of the Hawkesbury Local Government Area and issues of concern to the local community? *

Please outline your capacity to form independent views and to contribute constructively to the determination of Development Applications and consideration of Planning Proposals? *

Please outline your ability to demonstrate a basic level of understanding of the planning system, i.e., knowledge of the Council’s Local Environmental Plan, Development Control Plan, Local Strategic Planning Statement and Community Strategic Plan? *

Are you committed to follow the Code of Conduct for Local Planning Panel Members and the Local Planning Panels Operational Procedures? *

• Yes
• No

Are you committed to attending the Local Planning Panel meetings and contributing constructively to the determination of applications? *

• Yes
• No

Note: Probity checks are required for all Panel Members. A range of background checks are mandatory including, criminal, financial and academic checks.

Referee 1

First Name - (Referee 1) *

Surname * (Referee 1)

Organisation * (Referee 1)

Referee's Position Held * (Referee 1)

Referee's Relationship with Applicant * (Referee 1)

Email * (Referee 1)

Contact Number * (Referee 1)

Alternative Contact Number (Referee 1)

Referee 2

First Name - (Referee 2) *

Surname * (Referee 2)

Organisation * (Referee 2)

Referee's Position Held * (Referee 2)

Referee's Relationship with Applicant * (Referee 2)

Email * (Referee 2)

Contact Number * (Referee 2)

Alternative Contact Number (Referee 2)

Uploads

Please attach your resume * For sporting categories please upload records of sporting achievements.
(Files size must not be larger than 5 MB total. Only pdf, jpg and png file types are accepted)

Privacy Notice

Council is bound by the provisions of the Privacy and Personal Information Protection Act 1998, in the collection, storage and utilisation of personal information provided in this form. Accordingly, the personal information will only be utilised for the purposes for which it has been obtained and may be available for public access and/or disclosure under various NSW Government legislation.

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