Application to Join the UCWB Board

Personal Information

Full Name *

Contact Phone Number(s) *

Email *

Address *

Why do you want to join our Board and/or become a member of one of our Board Committees? *

UCWB is part of the Uniting Church in Australia and aligns to the Church's values of creating an inclusive, connected and just world. How do your personal and professional values align to this? *

Are you a practising member of the Uniting Church? *

YesNo

We are currently seeking candidates with the following attributes, please select which option(s) apply to you: *

Legal - commercialTechnology - strategy, digital and data expertiseClinical GovernanceCulturally diverse background

Please provide further information in relation to the option(s) you've selected above *

We also value applications from candidates who may have a lived experience. Do you have a lived experience? *

YesNo

It is a requirement that applicants seeking a position on our Board have experience as a Board member, and have undertaken relevant Governance training with AICD. List current and previous roles you’ve held on boards or management committees. List Board/Governance training undertaken. *

Referees - select referees that can attest to your previous Board experience *

Thank you for taking the time to complete this application.