SA/NT Chapter Committee Nomination Form

2023 SA/NT Chapter AGM Committee Nomination Form

As you are signalling your consent to this nomination, all nominations must be in writing and electronically signed by you and your proposer and seconder. Nominations must be lodged by Wednesday 22 November 2023.

Proposer/ Seconder
I,*
First Last
of,*

(your institution)
Email*
BEING A FINANCIAL MEMBER OF EDUCATE PLUS ACN 137660916, HEREBY NOMINATE:*
First Last
(name of nominee)
For the position of*
- Chapter President and Educate Plus Director
- Chapter Vice President
- Chapter Secretary
- Chapter Treasurer
- Chapter Committee Member
Seconded by:
First Last
(name)
of,*

(your institution)
Email*
Nominee Declaration
I,*
First Last
(nominee)
of,*

(your institution)
Email*
hereby accept the nomination.*
First name Last name
(Name entered above is an electronic signature)
Date*
DD slash MM slash YYYY