Personal Details Name: * Email: * Phone: * Gender: Male Female Indeterminate/Intersex/Unspecified Do you identify as Aboriginal and/or Torres Strait Islander: Yes No Prefer not to say Do you identify as a person with a disability: Yes No Prefer not to say In which Australian state or territory do you reside: * Australian Capital Territory New South Wales Northern Territory Queensland South Australia Tasmania Victoria Western Australia Main areas of expertise (select up to 3 options): * Accounting Communications Management Environment/Land/Water Management Hospitality/Tourism Pastoral/Agriculture Management Property Development/Construction Management Business Management Community Sector Management Financial Management Indigenous Affairs Regulatory/Governance Commerce Legal Other (detail below) Other: Please indicate your relevant personal skills or experience: * Analytical skills Communication Skills Corporate Governance Creativity/Innovation Leadership Skills Member of Board or Committee Negotiation Problem Solving Relationship Management Service Delivery Strategic Thinking Thorough understanding of roles, duties and responsibilities of Directors Working with Government Provide details of any relevant board and/or committee membership: * Have you undertaken any directorship/board training course, i.e. Australian Institute of Company Directors? * Yes No Please nominate any preference for a particular Portfolio Body: * Aboriginal Hostels Limited Australian Institute of Aboriginal and Torres Strait Islander Studies Indigenous Business Australia Indigenous Land Corporation Outback Stores Pty Ltd No preference Additional Comments: CV: * Upload a copy of your CV.Files must be less than 2 MB.Allowed file types: pdf doc docx. Consent to use and disclosure of personal information under the Privacy Act 1988 I consent to my personal information (including sensitive information) being used and disclosed in whole or part for the following purposes: To be entered in a database of persons interested in appointment to Australian Government statutory positions, boards and committees (the Board Candidate Register). To provide the Minister for Indigenous Affairs and the Department of the Prime Minister and Cabinet with a selection of candidates for consideration for appointment as vacancies arise. To provide other Australian Government entities with a selection of potential candidates for consideration for appointment to other positions as vacancies arise. To contact candidates and/or their referees for further information relevant to the appointment process. I consent * Yes No Leave this field blank
