This form needs to be completed in order to make a presentation on an Agenda Item or Topic at a Community Forum. The form must be submitted to Council by 12pm on the day of the Community Forum. 

Privacy Statement

The personal information you supply in this form and any documents attached are collected by Wollondilly Shire Council for the purpose of community consultation and matters of concern at Community Forums.  The information collected on this form may or may not be recorded in the Community Forum Record of Proceedings.  Regardless of whether the information is recorded in the Community Forum Record of Proceedings, the information shall be stored on Council's Electronic Data Management System. As such, this information could be subject to a request for access to information under the Government Information (Public Access) Act, 2009.

By submitting this form you are indicating that you have read and understood Council's Privacy Statement and that the personal information provided is correct. If you need further information or help, please contact Council's Governance section on 4677 1100.