<p>EXPRESION OF INTEREST COMMUNITY REFERENCE GROUP North Bannister Resource Recovery Park</p><p>Please complete all sections below and return to: Shay Menyweather [email protected] </p><p>Individual: Surname First Name Street/PO Box: Postal Address Suburb: P/C: Telephone H: W: M: Email Specific Area of Interest Environmental* Economic / Business / Community / Social* (please provide brief Employment* description of interest / issue)</p><p>Community / Business Organisation: Note : If representing an organisation, please attach a letter of authorisation supporting your nomination. Organisation Street/PO Box Postal Address Suburb: P/C: Website Email Nominated Role in Name: Representative Organisation: Telephone H: W: M: Email Substitute Role in Name: Representative Organisation: Telephone H: W: M: Email Specific Area of Interest Environmental* Economic / Business / Community / Social* (please provide brief Employment* description of interest / issue)</p><p>*If not enough space is available for description, please attach separate sheet of paper. July 2017 All Applicants: Describe you / your organisation’s expectations regarding participation in Community Reference Group:</p><p>If your application is unsuccessful, would you / your organisation be willing to Yes  No  participate in an Advisory Group relevant to your specific area of interest? Are you / is your organisation willing and able to:</p><p>Participate cooperatively in and constructively contribute to discussion on issues relevant to the future of the SUEZ North Bannister Resource Yes  No  Recovery Park Provide representation on behalf of an organisation and / or the general population and be willing to communicate CRG activities, SUEZ news and Yes  No  plans to your organisation or community? Treat all other CRG members and their views respectfully? Yes  No  Demonstrate the intention and ability to proactively represent community Yes  No  interests and enhance effective planning for the future of SUEZ? Volunteer time to represent community interests? Yes  No  Abide by the Community Reference Group Terms of Reference? Yes  No </p><p>Individual: Signature:</p><p>Date:</p><p>Community / Business Organisation: Signature:</p><p>Print Name:</p><p>Position in Organisation:</p><p>Letter of Authority attached: Yes  No </p><p>July 2017</p>