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Cradle Coast NRM Committee Committee Member Application Form It is important to read the Nomination Package prior to completing this Application Form. Personal Details Name: ...................................................................................................................................................................................... Postal Address: ..................................................................................................................................................................... Residential Address: .......................................................................................................................................................... Phone: ..........................................................................

Mobile Phone: ................................................................

Fax: ................................................................................

Email: ..................................................................................

Geographic area of interest: ........................................................................................................................................ Representative Interests Please indicate which of the seven interest areas you represent. If you have multiple interest areas, please number those interests with number 1 being your primary interest area. State Government Local Government Public Land Managers Community Interests Conservation Interests Aboriginal Community Interests Industry As guidance to the seven Representative Interests, the following interpretations are given: State Government

Employees of State Government agencies

Local Government

Employees or elected members of Local Government

Public Land Managers

Employees of agencies responsible for managing large areas of land or natural resources such as the Parks & Wildlife Service, Forestry Tasmania, Hydro Tasmania (as examples). Members of groups with an active interest and engagement in environmental management such as Landcare, Coastcare, heritage groups and recreational groups. Members of groups with an active interest and engagement in environmental conservation issues. Members of the Aboriginal community.

Community Interests Conservation Interests Aboriginal Community Interests Industry

Those engaged in activities with sustainable production or environmental issues such as agriculture, energy, fisheries, forestry, processing / manufacturing & tourism.


Occupation / Career Background Current employment position (if working) Position: ................................................................................................................................................................................... Employer: ................................................................................................................................................................................ Most Recent Previous Positions (or if not currently working) Position: ................................................................................................................................................................................... Employer: ................................................................................................................................................................................ Position: ................................................................................................................................................................................... Employer: ................................................................................................................................................................................

Relevant Skills and Experience Relevant NRM skills, knowledge and experience ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... .......................................................................................................................................................................................................

Business and project management skills and experience ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... .......................................................................................................................................................................................................

Interpersonal, communication and team skills ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... .......................................................................................................................................................................................................

Existing networks and ability to network ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... .......................................................................................................................................................................................................

Cradle Coast NRM Committee Application Form – 2011

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Strategic focus ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... .......................................................................................................................................................................................................

Regional focus ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... .......................................................................................................................................................................................................

Letters of Support Please provide at least one letter of support from a suitable organisation or body relevant to the key representational interest as outlined one page 1. Curriculum Vitae Please supply your CV in support of your application

Submission of Applications Please submit your application in writing marked Private & Confidential to: Luke Sayer Cradle Coast Authority PO Box 338 BURNIE TAS 7320 Or Email to admin@cradlecoast.com Applications close at 5.00pm on Thursday 3 February 2011. Hard copy and/or email submissions are acceptable. If you have any questions relating to this application, please contact Luke Sayer on 6431 6285.

Cradle Coast NRM Committee Application Form – 2011

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