Your name
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Which Ward do you live in?
Your age
Maximum 5 characters
0/5
Your gender
Your email address
Your phone number
Community Involvement (you can select more than one)
What makes you a great candidate for the panel?
Maximum 20,000 characters
0/20,000
How will you represent your community and ensure a fair, equal and positive outcome for all Hindmarsh residents?
The deliberative session will be held in one of the Shire's towns. Please provide us information around any additional needs you will have if you are required to travel to/from a town other than the one you reside in to participate in the panel:
