Leadership Application Form

Personal Information


Do you currently working/volunteer with Community activities? *

If NO, are you willing to attend training? ?

Community / Organisation Experiences

Are you willing to undertake specific training for this role? *

Have you ever had any related work {paid or voluntary} refused or suspended? *

Have you ever had any allegations/charged of any misconduct? *

Have you ever been convicted or charged with a criminal offence? *

Have you ever experienced / involved or experienced substances abuse/misuse of alcohol, recreational/illegal drugs or prescription/ over the counter medication? (or any other kind of substance)

Have you ever had your driver’s licence suspended or disqualified?

*Expectations and Commitment

I agree and Commit to the following:

Adhere to the Constitution, bylaws and code of conduct, Be unified within the leadership team,
Attend all required meetings, Attend all required training, Provide all relevant background checks.

*Endorsement Reference:


I acknowledge that, this information is correct, true and complete and I have provided it to the best of my knowledge. I understand omitting or providing false information is sufficient cause of my application to cease.