Universal Access Working Group Application Form

UNIVERSAL ACCESS WORKING GROUP APPLICATION

The City of Canterbury Bankstown is seeking applications from community members for its Universal Access Working Group. The Working Group will provide Council with advice for the ongoing management of services to our community.

If you are interested in applying for the Universal Access Working Group, please view the Charter and complete the details below, including relevant experience / qualifications and any other information in support of your application.

Applicant Details

First Name *

Last Name *

Position and Organisation if applicable

Address *

Phone number *

Email address *

Are you of Aboriginal or Torres Strait Islander descent? *

YesNo

If yes, which clan *

Do you live with disability? *

YesNoPrefer not to answer

Please provide information regarding any access requirements or support we can provide for you to participate in the Group

What is your interest in the Group you are applying for *

Information to support your application *

Applications close 5pm Thursday 2 April 2026

Privacy Notice

In submitting this form, you consent to Council:

1. collecing your personal information as contained in the form, and

2. using the information for the purpose outlined in the form and for any other council function.

Providing your information is voluntary. Should you choose not to provide the information, Council is unable to process your application/request. You may access any of your personal information that Council holds upon request.

I consent *