Arts, Culture a n d Heritage Advisory Committee
Nomination Form
Name:
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Organisation
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applicable): ............................................................................................................................................
Address (Home):
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Town/City:
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Phone (Home):
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Fax (Home):
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E-Mail Address:
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I would like to nominate for membership on the Arts, Culture and Heritage Advisory Committee. I have read
the Charter for the “Rural City of Wangaratta – Arts, Culture and Heritage Advisory Committee” and agree
to abide by the roles and responsibilities outlined therein should I be appointed to the committee.
1.
What has motivated you to apply for a position on the Committee? ......................................................................
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If space is insufficient, please attach supporting documentation
2.
What experience or skills do you have which will be of assistance to the committee (please refer also to the
Arts, Culture and Heritage Advisory Committee Charter- Skills Matrix over page)?
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If space is insufficient, please attach supporting documentation
Signed:
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Date:
................./................/ 2015
Nominations close Friday 31 July 2015 at 4.00pm
Please return this Nomination Form to:
Chief Executive Officer
Rural City of Wangaratta
PO Box 238
Wangaratta VIC 3676
Telephone: (03) 5722 0888
Fax: (03) 5721 9526
For enquiries contact Penny Hargrave Manager Arts Culture and Events on (03) 57 22 8110 or
p.hargrave@wangaratta.vic.gov.au
Arts, Culture and Heritage Advisory Committee - Skills Matrix
Relevant Experience:
Visual Arts
Music
Performing Arts
Heritage
Multicultural
Film & Multi Media
Education
Literature
Cultural Tourism
Events
Other Skills /
Information