This form needs to be completed in full 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 before the Community Forum.
Council requires anyone interested in attending and/or addressing Council at the Community Forum to read and accept the terms contained within the Community Forum Guidelines.
If you wish to provide any additional information, please email it to email@example.com.
Please note: all submissions must align with the Community Forum Guidelines under clause 8 and section 12.7 of the Appendix.
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.