Tasmanian Women's Register Appointment Certification Form

The Tasmanian Government is committed to maintaining equal representation of women and men in leadership and decision-making.

This Certification Form must be included with all Cabinet Briefs for appointments to Tasmanian Government boards, committees and advisory bodies. It documents the steps taken to identify suitably qualified and experienced women for appointment, including promotion of the vacancy through the Tasmanian Women’s Register.

When you submit this form, you will receive an email containing a PDF copy of your completed Certification Form. This PDF must then be attached to your Board Appointment Briefing package before it is submitted to Cabinet.

All sections are mandatory unless marked optional.

For more information, refer to the Cabinet process for Appointment to Government Boards (Gender Equity) Guidelines. If you have any questions regarding this form, contact women@dpac.tas.gov.au

Date *This section auto-completes with today's date.

Name *

Role *

Email address *This is the email address the completed form will be sent to

Completing on behalf of *

Tasmanian Government Agency *

Name of Board, Committee or Advisory Body *

Current gender balance of Board, Committee or Advisory Board

Enter the pre-appointment number of people who identify as female, male and non‑binary, as well as the number of vacant positions. This should add up to the total number of positions on the board, committee or advisory body. If a category does not apply, enter zero.

Female *

Male *

Non-binary *

Vacant *

Proposed gender balance of Board, Committee or Advisory Board

Enter proposed post‑appointment number of people who identify as female, male and non‑binary.

Female *

Male *

Non-binary *

Vacant *

Was the vacancy submitted to the Tasmanian Women’s Register? *

YesNo

Why was it not submitted to the Tasmanian Women's Register? *

Please list all recruitment methods used to identify suitably qualified women for the role *

Does the proposed board, committee or advisory group composition meet the Tasmanian Government’s gender equity target of 50% women? *

YesNo

Please explain the reasons why the board, committee or advisory body composition does not meet the gender equity target, and any steps taken to address this imbalance *

Any further comments about the recruitment and appointment process (optional)