Online Form - Nomination for Access & Inclusion Advisory Group The Shire invites interested members of the community to nominate to join its new Access and Inclusion Advisory Group. The Group will provide input into the Shire’s policies, programs and events in order to facilitate participation in and enjoyment of community life. The nomination period is open from 1 March 2023 to 28 April 2023. If you would like to discuss your interest, please call Marcus Whelan, Community & Place Coordinator on 9641 0500 or via email at marcus.whelan@york.wa.gov.au First name* Surname* Phone Number* Are you an Aboriginal or Torres Strait Islander?* YesNo Do you belong to a Culturally or Linguistically Diverse (CALD) Group? * YesNo Are you living with a disability of any kind?* YesNo If yes, please state the nature of your disability: * Do you currently rely on a family member/friend/carer for assistance or support?* YesNo If yes, please specify the nature of your relationship: Do you have dependent children?* YesNo If yes, what age/s are they: Is there a barrier to your full participation in community life and events/activities that has not been covered here?* YesNo If yes, what is it: Do you represent a community service organisation operating within the Shire of York?* YesNo If so, which one and what is your role: Are you the owner/manager of a business operating within the Shire of York?* YesNo If so, please state the nature of your business: * What is your motivation for nominating to join the Group?* What particular experience or insight could you bring to the Group? (e.g. a ‘lived experience’).* Type the code from the image: Get Audio CodeType the code from the image