Great Wheelbarrow Race Advisory Committee Nomination Form

Title

First Name *

Last Name *

Over 18 years of age *

YesNo

Postal Address *

Phone Number *

Email Address *

Why are you interested in joining the Great Wheelbarrow Race Advisory Committee? *

Please outline your community experience: *

Optional: Applicants may wish to attach a brief resume and / or a letter of support.

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I wish to nominate as a representative on the Great Wheelbarrow Race Advisory Committee and certify that:

I have read and understand the Handbook for Advisory Committees.
The statements in this nomination form are true and correct to the best of my knowledge.
I give permission to Mareeba Shire Council to verify statements outlined on this form.

Signature *

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Please submit your completed application form and supporting documents by Sunday, 20 July 2025.

PRIVACY NOTICE: Mareeba Shire Council is collecting your personal information in accordance with the Local Government Act 2009 in order to process this application. If you choose not to provide your personal information, the application may not be approved. Your personal information will only be accessed by authorised Council employees. Your personal information will not be used for any other purpose or disclosed to any other person or entity unless you have given us permission or we are required by law. Please refer to Council’s QPP Privacy Policy for further information on access or correction of personal information held by Council.