Register to the Interested Persons Register (IPR)

Board and committee members are usually recommended for appointment by the responsible Minister. The Interested Persons Register (IPR) is a list of people willing to contribute to a board or committee. Its purpose is to ensure there is a pool of men and women, with appropriate skills and knowledge, from which Ministers may draw members.

The term of appointment varies from board to board, and is generally for a two or five year term. Some boards meet annually, some monthly and others on an as required basis.

To be included on the IPR please complete and submit the attached form, with a curriculum vitae of 4 pages maximum. It is not possible to register for a specific board or committee, but you may indicate areas of special interest.

There is no guarantee of appointment to a board or committee. The information is forwarded to ministerial offices for their consideration.

If you are appointed to a board, your family name, initial, designation (eg. Dr B. Smith, Deputy member) and term will be on this website.

You may update your IPR details on this website at any time. Membership of the IPR expires after five years.

Enquiries may be directed to the Cabinet Services Branch, Department of the Premier and Cabinet, phone (08) 9222 9333.

* denotes a mandatory piece of information in the sections which follow.

IPR account details

Your user name and password enable you to access your IPR details.

*User name:**		Your username must be between 6 and 14 characters.

*Password:**		Your password must be between 6 and 14 characters.
*Confirm password:**

*Email:**

Confirmation


	Before providing your details, please confirm the following:
	I am an authorised user of the IPR (ie I have a username and password).
	I agree for my IPR information to be made available to ministerial offices and agencies.
	I agree for my IPR information to be forwarded to the Commonwealth Government and private sector organisations for the sole purpose of being considered for appointment to their boards.

Personal details

*Title:**	*Gender:**
*Family Name:**
*Given Names:**
*Address:**
*Locality:**
*State:**	*Postcode:**
*Telephone:**	Mobile:
Email:
Date of birth:	*Australian Citizen:**

Areas of interest

Up to five areas of interest may be selected from the list below. Please select at least one.
*1^st: 2^nd : 3^rd : 4^th : 5^th :**

Special interest groups

The WA State Government has a desire for better representation of varying groups on boards and committees. Please indicate if you identify as a member of one or more of the following groups:

Aboriginal/Torres Strait Islander

Non-English speaking background	If yes, please specify

People with a disability/special needs	If yes, please specify

Seniors

Young people (Age 12 - 25. Parent's permission may be required if nominee is under 18 years and is being considered for appointment to a board or committee)

Availability

Please indicate when you can attend metings:

During normal business working hours

After normal business working hours

Weekends

Work history

Please enter past and present jobs you have held.

Current job:
Brief description:

Previous Job:
Brief description:

Other job:
Brief description:

Other job:
Brief description:

Voluntary work/Involvement in community organisations

Please provide a summary of your voluntary work and involvement in community organisations.

Qualifications/Skills/Life experiences/Languages/Achievements

Please provide a summary of your academic or professional qualifications, skills, life experiences, language proficiency and achievements that you consider to be valuable to a government board or committee.

Personal interests

Please enter your personal interest areas.

Boards and committees experience

Please list any experience that you have had on government boards and committees.

Board/Committee:
When:	Level of government:

Board/Committee:
When:	Level of government:

Board/Committee:
When:	Level of government:

Referees

Please provide at least two referees. It is important that referees support the application.
First Referee
*Title:**	*Family name:**
*Given names:**
Occupation:
Address:
Locality:
State:	Postcode:
*Telephone:**	Mobile:
E-mail:
Second Referee
*Title:**	*Family name:**
*Given names:**
Occupation:
Address:
Locality:
State:	Postcode:
*Telephone:**	Mobile:
Email:

Additional interests

Please add any additional information that may be relevant to the consideration of your suitability for appointment.

Resume upload



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Page last revised: 01 May 2003