Expression of interest to become a MACMA member

Tell us about you

Title

Full name *

Organisation If applicable

Phone number *

Email address *

Postal address *

Suburb *

State *

Postcode *

Tell us about your experience

Do not disclose sensitive information about your racial or ethnic origin, or religious beliefs or affiliations.

For example, you may describe your involvement with specific community organisations but avoid saying:

‘I am a practising (insert religion)’
'I was born in (insert country)'.

What knowledge do you have of the issues affecting the NT’s multicultural community? *

Are you involved, in any way, in multicultural community or organisations in the NT? If so, in what way? *

What are your skills and qualifications? *

How can you contribute to MACMA as a community representative? *

Provide a referee

Provide a referee to support your application and the information you have provided.

Make sure they consent to being contacted.

Referee name *

Referee phone number *

Referee email address *

Membership and meetings

By applying to become a member of MACMA, you are committing to attend all MACMA meetings, scheduled twice a year or more as required *

If you are successful, would you be interested in the role of Chair of MACMA? *

Select your preferred term duration (preferences would be considered but not guaranteed) *

2 years
3 years

If you are not successful, do you agree to be placed on a waiting list should there be an opportunity for you to become a member? *

Declaration

I confirm that the above information I have provided is true and accurate *

By completing and submitting this form, I am acknowledging that I have read and understood the privacy statement and I consent to the collection of my personal and/or sensitive information that I have provided for the stated purpose. *

Full name *

Date *

Privacy statement

The Department of People, Sport and Culture (DPSC) collects the information you provide in this application to determine your suitability for appointment to the Minister’s Advisory Council on Multicultural Affairs (MACMA). If you do not provide the requested details, DPSC may not be able to consider your application. By submitting the application form, you consent to the collection, use, storage, and disclosure of your personal and/or sensitive information to the Office of the Minister for Multicultural Affairs, offices within the DPSC and other Northern Territory Government agencies for the purpose of recruitment and reporting the outcomes of the MACMA. You have a right to seek access or correction of any information we hold about you. If you have any queries or concerns about how your personal information is collected and used, contact the Office of Multicultural Affairs by emailing dpsc.multiculturalaffairs@nt.gov.au.

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