Nominee name:
Maximum 255 characters
0/255
Nominee residential suburb:
Nominee phone contact:
Nominee email address:
What is your connection to Canning (please feel free to tick more than one)?
Why is being a part of this group important to you?
Maximum 20,000 characters
0/20,000
What does Access and Inclusion mean to you?
What skills, knowledge and passion you can bring to the Group?
Do you have another connection to Canning you would like to share - other than what is mentioned above?
How would you describe your Membership type (please feel free to tick more than one):
Do you have other membership connections - other than what is mentioned above?
What days and times of the week are most convenient for you to attend meetings
If you wish, is there anything else you would like to share about yourself?
