EIS Health Limited Board 2026: Expressions of Interest Form

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Please use this form to submit an expression of interest in joining the EIS Health Limited Board.

I currently live or work in the area covered by CESPHN

YesApplicants must live or work in the area covered by CESPHN in order to be eligible to apply.

Do you have, or are you willing to obtain, a Director's ID? (This is a requirement for all successful candidates).

YesNo

Contact details

Salutation

First name

Middle name(s)

Last name

Preferred name

Post-nominal

Contact number/alternative

Email address

Residential address

Number and street name

Suburb

State

Postcode

Do you have a different postal address?

YesNo

Postal address (if different)

Number and street name

Suburb

State

Postcode

Do you identify as a member of any of these groups?

Person living with a disabilityAboriginal and/or Torres Straight Islander personCulturally and Linguistically Diverse (CALD)

Is there any further information you would like to provide (optional)?

Qualifications and expertise

Please outline your formal qualifications (maximum 400 characters).

Please outline what interaction, if any, you have had or currently have with CESPHN (maximum 400 characters).

Please outline what interactions, if any, you have had or currently have with other PHNs (maximum 400 characters).

Do you have any affiliations with universities and/or research centres? If yes, please provide details such as name of institution, nature of affiliation, relevant start/end date (maximum 400 characters).

Are you currently a member of any other boards or committees? If yes, please provide details such as name of board/committee, roles held, date and length of appointment (maximum 400 characters).

Do you wish to be considered for other EIS Health Committees or Councils?

YesNo

Please upload a current curriculum vitae in PDF format (maximum 4 pages).

Skills sought

Skills and experience

The EIS Health Board requires a relevant mix of skills to support effective governance and strategic leadership. Please assess your experience and background against the 2026 priority areas of expertise identified by the Board.

Exp: Expert knowledge, has extensive practical experience and/or senior oversight experience in this area.

Adv: Advanced knowledge, has a strong understanding of the concepts, issues and common oversights within this area which has been built on repeated practical experience.

Gen: General knowledge, has a good general awareness and understanding of this area.

Lim: Limited knowledge, has an early-stage understanding of this area.

For further details on skills, please click HERE.

	Expert	Advanced	General	Limited
Primary and community based healthcare
Corporate governance experience
Oversight of strategic initiatives
Community engagement
Risk management oversight
Vulnerable and priority populations oversight

Additionally, the EIS Health Board is seeking candidates who have one or more of the below general skills. Please assess yourself against the following areas of oversight:

	Expert	Advanced	General	Limited
Digital strategy and transformation
Innovation and disruption
Technology and data collection/management
Safety in a work environment
Accounting and financial reporting

Declaration

I declare that the information provided in this application is true, complete and accurate to the best of my knowledge. I understand that any material omission or misrepresentation may affect the consideration of my application

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