Expression of Interest for a Membership of a Board Council or Committee

Expression of Interest for
Membership of a Board Council or
Committee

Thank you for your interest in volunteering for the Archdiocese of Brisbane. We welcome volunteers from diverse backgrounds and with a wide range of skills to committees and councils within Archdiocesan agencies,

As vacancies arise all applications will be reviewed for the skill sets needed. Thank you for providing details below for our reference.

Section 1: Details

Title *

Other - Please specify *

First Name *

Last Name *

Street Address *

Suburb *

State *

Postcode *

Postal Address (if different to Street Address)

Telephone (Mobile)

Telephone (Home)

Telephone (Business)

Fax

Email Address *

Marital Status (optional)

Age Group *

18-3031-4546-6060+

Occupation *

Current Employer *

Position held *

Parish/Church Organisation *

Section 2: Areas of expertise

Describe your interests, experience and expertise *

Do you have any academic qualifications? If so, please list them *

Have you any previous experience with boards, councils or committees? If yes, please provide details *

Describe your current and/or previous involvement in the wider church *

Section 3: Referees

Please nominate two (2) referees, one of whom should be your Parish Priest or other member of the Clergy

Name of referee *

Address *

Relationship to nominee *

Telephone *

Name of referee *

Address *

Relationship to nominee *

Telephone *

Section 4: Supporting documents

If you wish to attach a small CV and qualifications you may do so here

Supporting documentation

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Max file size 3 MB

Section 5: Certification

I, the undersigned, certify that:

I agree to the personal details on this form being recorded and used by the Archbishop of Brisbane to assist in the nomination process for board, or council or committee membership;
I confirm that the details provided are correct to the best of my knowledge;
I have the approval of my nominated referees to offer their names and I have no objection to them being contacted; and
I confirm that to the best of my knowledge there is no impediment to my nomination for membership of an Archdiocesan board, council or committee.

Please sign here *

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Name in full *

Date *

If you have any questions concerning this form, do not hesitate to contact the Office of Legal, Governance and Risk by telephone at 07 3324 3578.

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