Nominate for Sector Advisory Group

Sector Advisory Group

If you are a ConnectGroups Support Group member and would like to nominate to sit on the Consumer Advisory Group, kindly fill in the information below.

Name*
First Last
Support Group Name*
Contact Email
Contact Number
Date Application sent
MM slash DD slash YYYY
How long have you been part of your Support Group(s)?
What roles and responsibilities have you covered within your Support Group?
Why would you like to be part of the Sector Advisory Group and what contribution/skills would you bring?
Please provide a referee from your Support Group ie. a member, another committee member or board member.
Referee Name*
First Last
Referee Role*
Referee Email
Referee Contact Number
Please attach any written references.
File
Max. file size: 256 MB.

Sector Advisory Group

Please provide a referee from your Support Group ie. a member, another committee member or board member.

Please attach any written references.