CLG application form

Name *

First Name

Last Name

What group would you like to join? *

Waitematā Station (Britomart)

Te Waihorotiu Station (Aotea)

Karanga-a-Hape Station (Karangahape)

Maungawhau/Mount Eden Station

Are you committed to attending meetings every three months? *

Yes

No

How did you find out about the CRL Community Liaison Group vacancies? *

CRL Connection e-newsletter

CRL project wesite

CRL Facebook post

CRL LinkedIn post

CRL Instagram post

Business or residents' association email or advertising

Other

Declaration *

If selected, I am willing to abide by the Group Charter for the CRL Community Liaison Group. I will: • Commit to attending the majority of CLG meetings • Contribute to discussions on issues relevant to the design and construction of the project • Provide a two-way information flow between the community I represent and other members of the group • Treat other Community Liaison Group members and their views respectfully I understand that all supplied information will remain private and confidential. I declare that the information I have provided is true and correct at the time of writing. I understand that submitting this application does not guarantee or confirm my membership of my City Rail Link Community Liaison Group.

Agree

Disagree