BOARD REPRESENTATIVE NOMINATION FORM
_________________________________________________________________________________________________________________________
Name:
Phone number/s:
Email:
Membership Start Date:
Address:
D.O.B. or age @ 27/03/2016:
What skills / representative areas do you represent? (Please circle/highlight ONE only)
Finance
Law
Arts
Indigenous
IT
Marketing
Management
Education
CaLD
Regional Youth Arts
Metro Youth Arts
Human Resources
Tell us why you think members should vote for you? (No More than 100 words)
Provide a 100-word biography written in third person. This will be included in the
Notice of Annual General Meeting sent to all members prior to voting.
Propel Youth Arts WA
www.propel.org.au
Board Nominations 2016
Nominated Member*:
_____________________________ (signature)
Name of Nominated Member:
_____________________________ (print name)
Date:
_____________________________
Seconded by Propel Member*:
_____________________________ (signature)
Name of other Propel Member: _____________________________ (print name)
* emailed applications do not require signature but must be verified by nominee
Propel Youth Arts WA
www.propel.org.au
Board Nominations 2016