PP&VA BOARD NOMINATION

Board Nomination Form

First Name

Last Name

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Residential Address

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City

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Postal Address (if different)

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City

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Current Employer

Date of Birth

Do you identify as any of the following – tick all that apply?

First Nations

Culturally and Linguistically Diverse

Living With Disability

I nominate to be a member of the Board of Directors of Penrith Performing & Visual Arts Ltd for 2025-2029 to be appointed by Penrith City Council with a term effective from the Annual General Meeting to be held on Tuesday 21 October 2025. Please type your full name below:

Experience

Contribution

Arts and Culture

Personal Bio

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Self Assessment

Please note: It is expected that you provide information and/or verification, within your supporting documentation (such as your resume or CV), of knowledge, experience and skills that you assess as HIGH or EXPERT.

Arts Management

Finance

Arts Management

Accounting

Legal

Marketing

Information Technology

Public Relations

Risk Management

Human Resources

Senior Management

Strategic Planning

Fundraising

Governance/Policy

Retail/Hospitality

Community

Education

Planning/Infrastructure

Social Services

Other - Please specify