Kingborough Community Safety Committee Nomination Form

Nominations are sought from Kingborough residents with a broad interest in community safety and road safety matters to participate in the Kingborough Community Safety Committee.

The Committee aims to encourage and promote community safety through public education, advice and assistance to Council on community safety matters relevant to the Kingborough municipality.

Meetings are usually held on a bi-monthly basis.

Nominations must be lodged below by Friday 29 October 2021.

  • If applicable
  • Please provide a brief background about you and why you would like to be on this committee. Including, any community involvement and relevant experience in community and road safety matters.
  • Completion of this form may require the disclosure of personal information. The intended recipients of this information are officers of the Kingborough Council in order to advance the purposes of this form and to carry out Council business. The Personal Information Protection Act 2004 and Council’s Privacy Policy regulate the use of this information, which will not be disclosed to any other party, except with your permission or if required or authorised by law. You may make application to access or amend personal information held by Council by contacting the Customer Service Unit on (03) 6211 8200. Should you not provide the information sought, Council will not be able to process this form.