- I declare that:
1. I am over the age of 18 years old
(Applicants under the age of 18 should download the Application From so that their parent or legal guardian can also sign the Application document)
2. I have read and understood the Terms and Conditions of this Award.
3. I am currently, or for a significant part of my life have been, associated with the Shire of Mundaring through residence, work or education.
4. I have provided contact details of professional Referees.
5. I have not been the recipient of any award from the Trust previously.
6. The information I have given in this application is true.
7. If granted an award, I will use the proceeds in accordance with the intentions outlined in this application.
8. I understand that the Trust can use my name and image solely for future promotion of the Award.