Expression of Interest – Audit, Risk and Improvement Committee

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Max File Size: 100.00 MB
Allowed File Types: .doc, .docx, .pdf
I DECLARE THAT I have never been subject to bankruptcy or insolvency proceedings in accordance with the Bankruptcy Act 1966 (Cth).*This field is required.
I DECLARE THAT I have not been convicted of a serious local government offence; or convicted of a criminal offence for which the indictable penalty was or included imprisonment for more than 5 years.*This field is required.
I DECLARE THAT The information I provided in or attached to this Respondent Form is true and correct at the time I signed this declaration.*This field is required.
I DECLARE THAT I have read, understood and agree to the terms outlined in the Expression of Interest and Supporting Information detailing applicable legislative and operational arrangements.*This field is required.
I acknowledge the information I have provided in or attached to this Respondent Form will be the basis of assessing suitability for the roles offered.*This field is required.
I authorise the Shire to distribute the information I provided in or attached to this Respondent Form to elected members for the purpose assessing suitability for the independent Presiding Member or the Deputy of the Presiding Member roles.*This field is required.
I acknowledge that if I am selected to be appointed as the independent Presiding Member or the Deputy of the Presiding Member, I will have a legislated obligation to comply with the Local Government (Model Code of Conduct) Regulations 2021 and the Shire of Ashburton’s Code of Conduct for Council Members, Committee Members and Candidates, as applicable to a Committee Members.*This field is required.
I acknowledge that if I am appointed as the independent Presiding Member or as the Deputy of the Presiding Member, the appointment is between myself and the Shire.*This field is required.