Board Details

To ensure we maintain the appropriate records required for board governance, please complete the below. This information will be kept confidentially within the Shepparton Arts Festival team.

Name

First Name

Last Name

Pronouns

Phone

(###)

###

####

Postal Address

Date of Birth

YYYY

Diversity Information*

*Optional: As part of our commitment to inclusion and representation, you are invited to share optional diversity information. This is entirely voluntary and will help the organisation better understand the diversity of our board and support inclusive practices. Examples of information you may wish to share include: Cultural or ethnic background (e.g., CALD, Aboriginal or Torres Strait Islander), LGBTQIA+ Identity, any other aspects of diversity you feel is relevant.

Do you consent to your diversity information to be shared in funding applications/reports when required?

Working With Children Check

If you hold a WWCC number and expiry if so:

Do you have a current RSA?