Citizen Lottery Register

Register your interest in doing democracy, differently. 

Completing this form will place you in the pool of participants in the Citizen Lottery, which will be used for random selection over the next 2 years.

Maximum characters 255
Maximum characters 255
Options are limited to
It is sometimes important that we get a group representative of our Shire's demographics. When this is the case, we might need to ensure we have balanced representation in terms of gender.
Some engagement activities are location specific. We will use this information when we are looking for someone in a particular area to be involved in an engagement activity.
This will be our primary form of communication with you.
Maximum characters 255
Options are limited to
Options are limited to
We will not use this for selection, only for our research and learnings throughout the trial.
Please hold on while your response is being submitted