PROGRAM REGISTRATION 2024/25 Council Name*Albury City CouncilArmidale Regional CouncilBallina Shire CouncilBalranald Shire CouncilBathurst Regional CouncilBega Valley Shire CouncilBellingen Shire CouncilBerrigan Shire CouncilBland Shire CouncilBlayney Shire CouncilBogan Shire CouncilBourke Shire CouncilBrewarrina Shire CouncilBroken Hill City CouncilByron Shire CouncilCabonne CouncilCampbelltown City CouncilCanterbury Bankstown CouncilCarrathool Shire CouncilCastlereagh-Macquarie County CouncilCentral Coast CouncilCentral Darling Shire CouncilCentral Murray County CouncilCentral Tablelands CountyCessnock City CouncilCity of Canada Bay CouncilCity of RydeClarence Valley CouncilCobar Shire CouncilCobar Water BoardCoffs Harbour City CouncilCoolamon Shire CouncilCoonamble Shire CouncilCootamundra Gundagai Regional CouncilCowra Shire CouncilDungog Shire CouncilEdwards River CouncilEurobodalla Shire CouncilFairfield City CouncilFederation CouncilForbes Shire CouncilGeorges River CouncilGilgandra ShireGlen Innes Severn CouncilGoldenfields Water County CouncilGoulburn Mulwaree CouncilGreater Hume Shire CouncilGriffith City CouncilGwydir Shire CouncilHawkesbury River County CouncilHay Shire CouncilHilltops CouncilHornsby Shire CouncilInner West CouncilInverell Shire CouncilJunee Shire CouncilKempsey Shire CouncilKu-ring-gai CouncilKyogle CouncilLachlan Shire CouncilLake Macquarie City CouncilLeeton Shire CouncilLismore City CouncilLithgow City CouncilLiverpool Plains Shire CouncilLockhart Shire CouncilMaitland City CouncilMid Coast CouncilMoree Plains Shire CouncilMosman Municipal CouncilMurray River CouncilMurrumbidgee CouncilMuswellbrook Shire CouncilNambucca Shire CouncilNarrabri Shire CouncilNarrandera Shire CouncilNarromine Shire CouncilNew England TablelandsNewcastle City CouncilNorfolk Island Regional CouncilNorth Sydney CouncilNorthern Beaches CouncilOberon CouncilPort Macquarie-Hastings CouncilPort Stephens CouncilQueanbeyan Palerang CouncilRandwick City CouncilRiverina Water County CouncilRous County CouncilShoalhaven City CouncilSingleton CouncilSnowy Valleys CouncilStrathfield CouncilSutherland Shire CouncilTamworth Regional CouncilTemora Shire CouncilTenterfield Shire CouncilThe Hills Shire CouncilTweed Shire CouncilUpper Hunter County CouncilUpper Hunter Shire CouncilUpper Lachlan Shire CouncilUpper Macquarie County CouncilUralla Shire CouncilWagga Wagga City CouncilWalcha CouncilWalgett Shire CouncilWarren Shire CouncilWarrumbungle Shire CouncilWaverley CouncilWeddin CouncilWentworth Shire CouncilWingecarribee Shire CouncilWoollahra Municipal CouncilYass Valley CouncilRisk Contact Name* First Last Email* Phone*PROGRAM SELECTIONPlease select your preferred Board Initiative for 2024/25* Service 1: Business Continuity Scenario-based Exercise Service 2: Climate Change Risk assessment Service 3: ERM Foundations Training Service 4: Development of Risk Appetite Statements Service 5: Risk Maturity Review Region*Hunter / MetroNorthern Rivers / Mid North CoastOrana / Central NSWRiverinaNorthern InlandSouth Coast / Canberra*Choose a month and a consultant will negotiate your date of service. There is a chance your selected month may not be available, services are provided on a first registered first serve basis.For Hunter / Metro please select your preferred month for delivery of the Initiative* December 2024 February 2025 March 2025 For Northern Rivers / Mid North Coast please select your preferred month for delivery of the Initiative* August 2024 May 2025 For Orana / Central NSW please select your preferred month for delivery of the Initiative* October 2024 April 2025 For Riverina please select your preferred month for delivery of the Initiative* July 2024 April 2025 For Northern Inland please select your preferred month for delivery of the Initiative* November 2024 May 2025 For South Coast / Canberra please select your preferred month for delivery of the Initiative* September 2024 March 2025 Please list the names of those personnel from Council who should participate* Any additional commentsGENERAL MANAGER APPROVALGeneral Manager Name First Last Council's General Manager has approved the application to Statewide Mutual for the delivery of the above Board Initiative* Agree