By submitting the nominations, local governments and applicants consent to the written material and photos provided to be used by LG Professionals Tasmania in any publications, brochures, internet site, or other promotional initiatives.

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Applicant Name

Applicant Job Title

Applicant Local Government Area

Applicant Email

Applicant Phone

Applicant Date of Birth

Please describe how you have displayed outstanding leadership skills in the workplace (max. 150 words)

Please describe how you have contributed to your team and council (max. 150 words)

Please describe how you have contributed to your community (max. 150 words)

Please describe how you have displayed personal drive and integrity professionally and personally (max. 100 words)

Please describe how you commit to self-development in the sector through extra-curricular, relationship development or professional association mechanisms (max. 100 words)

Please upload an up-to-date CV (maximum 2 pages)

Upload files (max file is 2) (10MB limit) (jpg, png, gif, jpeg, pdf, docx)

Please upload an endorsement or reference letter from your supervisor or GM/CEO

Upload files (max file is 2) (10MB limit) (jpg, png, gif, jpeg, pdf, docx)

Please upload a photo to support your application

Upload files (max file is 1) (10MB limit) (jpg, png, gif, jpeg, pdf)

Have you reviewed your application and are ready to submit?

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