1. The Applicant

Name

Address

Telephone

Email:

2. Connection to Moorabool Wind Farm

Please detail your connection to the project (for example a near neighbour):

Are you an Involved Landowner in relation to the project?

3. Eligibility against selection criteria

In selecting the community representatives, preference will be given to candidates who can represent the concerns of a variety of interest groups. Please provide a brief statement on your eligibility in relation to the selection criteria.

3.1 Willingness to contribute constructively:

3.2 Experience and ability to provide feedback to the community and stakeholder groups:

3.3 Current residence in the local area specified and / or awareness of local and other relevant issues:

3.4 Experience, if any, with grant applications and assessment: