Mitchell Shire Council - Community Panel Registration of Interest

Thank you for your interest in the Mitchell Shire Council Community Panel, where panel members will have the opportunity to give advice to Council and work with other members of the community to shape Mitchell Shire's future.

The Community Panel will be made up of around 40 members of the Mitchell Shire community coming together to discuss, debate and form recommendations on some of the more complex challenges facing the Council. As part of the Community Panel, you will engage in discussions, debates, and deliberation on key issues, providing valuable insights and opinions to inform important decisions.

The Community Panel will meet on two occasions. It is important that you can attend ALL meetings.

Saturday, 15 February 2025, between 10am and 4pm, Broadford Hall, 18 Murchinson Street, Broadford

Saturday, 22 February 2025, between 10am and 4pm, Greater Beveridge Community Centre, Corner Lithgow Street and Mandalay Circuit, Beveridge

Refreshments and lunch will be provided. Participants will receive $200 in recognition of their commitment and time and to cover any potential participation costs.

The members of the Community Panel will be selected from those who register through a random sample to reflect the diversity of the Mitchell Shire community, both residents and business owners. Please complete this form so that we know a little more about you and can select a diverse panel.

Registrations are being managed by Deliberately Engaging, an independent organisation separate from Council.

Please note: Elected representatives from any level of government, paid employees of any political party, council employees, current Councillors and their immediate family members, and former Councillors from the last two terms of Council, cannot join the Panel.

Protecting your privacy
By completing this registration form, you are providing Deliberately Engaging Pty Ltd with personal information about yourself. All personal information collected is handled in accordance with the Australian Privacy Principles. By completing this registration form, you authorise Deliberatively Engaging to provide Mitchell Shire Council with certain personal information, including your name, contact details and any necessary information, including special needs, to support your participation. No other personal information will be provided to Council without your consent. Overall demographic and business information for the Community Panel will be de-identified before being provided to Council.

First Name *

Preferred name

Last Name *

Email Address *

Phone number (mobile if possible) *

If selected will you be available to attend ALL meetings of the Community Panel (dates above)? *

YesNo

If you are unable to attend both meetings of the Community Panel you can close this registration form now.

Your demographics

Mitchell Shire are committed to ensuring that the Community Panel represents the diversity of the Shire. We are asking you questions about yourself to help us do this. You can select ‘prefer not say’ if you would rather not provide this information about yourself.

What gender do you identify with? *

FemaleMaleI prefer not to sayI prefer to self describe

I describe my gender as *

What age group are you in? *

Where do you live? *

Street address *

Suburb *

Postcode *

Do you own or rent the property you live in? *

OwnRentOther

If you answered 'other' to the previous question please provide details *

Are you a landlord with property in the Mitchell Shire? *

YesNo

Please provide the address for one of your rental properties. *

Street address *

Suburb *

Postcode *

What is your highest level of education attainment? *

High school or equivalentCertificate level I-IV or equivalentAdvanced Diploma or Diploma level or equivalentBachelor degree or abovePrefer not to sayOther (please provide details below)

Other, please provide details *

Do you identify as Aboriginal and/or Torres Strait Islander? *

Do you have a disability? *

YesNoPrefer not to say

Do you care for someone with a disability or a long-term illness? *

YesNo Prefer not to say

Do you identify as LGBTQIA+? *

YesNoPrefer not to say

Do you speak a language other than English at home? *

YesNo

What language or languages do you speak at home? *

What is your country of birth? *

AustraliaElsewhere

Where were you born? *

If you answered 'other' where did you hear about the Community Panel? *

How would you describe yourself? *

I am a resident in the Mitchell Shire Council areaI run a business or am a sole trader in the Mitchell Shire areaI am both a resident and a business operator in the Mitchell Shire area

Information about you and your business

In addition to reﬂecting the diversity of the residents of Mitchell Shire, we want to include a range of local businesses. Your answers to the following questions will allow us to do this.

What does your business do? *

How long have you operated your business in Mitchell Shire area? *

Less than one yearMore than one year but less than five yearsFive years or more but less than ten yearsTen years or more

What is the address of your main business premises in Mitchell Shire?? *

Street address *

Suburb *

Postcode *

Final questions

Thank you for registering your interest in being part of this important process. Up to 40 people who have registered their interest will be selected to be part of the Community Panel.

Are you a volunteer or member of a local community organisation? *

YesNo

If yes, please indicate area/s you are involved in please *

If you answered other, please provide details *

Do you have any dietary requirements or food allergies? *

YesNo

Please provide details of your dietary requirements or food allergies *

Do you have any particular support needs to participate on the Community Panel? *

YesNo

Please describe what other support you may need *

What happens next?

Registration for the Mitchell Shire Council Community Panel closes at midnight on Sunday 1 December 2024.

After registrations close, the membership of the Community Panel will be selected through a random selection process to identify 40 panel members to reflect the diversity of the Yarra Ranges community.

If selected, you will be contacted by email to confirm you can still participate. You will then receive a follow-up call to tell you more about the Community Panel process and answer any questions you may have.

If you aren't selected initially, you will be placed on a waiting list until the 40 participants on the Community Panel are confirmed.

In the meantime, if you have any questions about the Community Panel please call Nivek Thompson on 0472 761 324.

If you would like to be involved in other ways, learn more about what's happening in Mitchell Shire and have your say on a number of diﬀerent community consultation projects, visit https://engagingmitchellshire.com/and 'Join' to receive updates.

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