ERC Nomination Form

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Please outline why you wish to join the ERC*
Please outline your area of Interest/expertise in relation to the mine*
How would you ensure that your contribution was reflective of broader community interests and opinion?*
List any community groups or advisory committees you are currently on or have served on in the past.*
Please indicate you ability to meet the criteria for ERC membership as in the Terms of Reference*
- Select All
- ability to attend quarterly meetings at 4.30pm (on site or via video conferencing)
- have an ability and willingness to look beyond personal interests
- possess a desire to make positive contributions to ERC meetings
- demonstrate an ability to engage with Ballarat Gold Mine’s key stakeholder community
- demonstrate courteous and respectful behavior towards fellow members and stakeholders
- reside within a relevant geographic space of Ballarat Gold Mine’s operations
The ERC Terms of Reference can be found on the website at https://ballaratgoldmine.com.au/environmental-review-committee
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