2017-2018 Board Nomination Form
General Member (3 years)
GPO Box 223
Canberra, ACT 2601
[email protected]
ACN: 85 081 705 204
Nominations close 5.00pm Monday 31st July 2017
Each member of the Company shall elect three General Board members plus one other Board member who is to be a
representative from her own State or Territory (NSW/ACT, NT, QLD, VIC, SA, WA and TAS). The immediate Past
President shall automatically be an ex officio Board Member. Section 18 (1), AWiA Articles of Association.
Nominations are being called for one (1) General Member on the Board of Management for a 3 year term.
 State/Territory Representative positions are open to financial members resident in that State/Territory. The
nominator and seconder must be financial members resident in that same State/Territory.
 All members signing the nomination form must be financial members of AWiA Ltd.
 All nomination forms must include a half page (150-200 words maximum) summary outlining the nominee’s personal
details, relevant experience and skills she will bring to the AWiA Board.
 Nominations must be on the official nomination form, which can be photocopied.
 If a member nominates for both a General and State/Territory representative position, at the time of nominating they
need to indicate their first preference, in the event a postal vote is required for either or both positions.
 Nomination forms must be received no later than 5:00pm on Friday 31st July 2017 by email, post or hand delivery.
Returning Officer – AWiA Ltd
Marion Rak
GPO Box 223 Canberra ACT 2601
Tel: 0409 009 878 Email: [email protected]
The members whose names appear under Nominator and Seconder, nominate –
Name: (Please print) _____________________________________________________________
Address: _______________________________________________________________________
for election to the Board of Management of Australian Women in Agriculture Ltd for a 3-year term as
General Member.
Nominator’s Name: (Please print) ___________________________________________________
Address: _______________________________________________________________________
Signature: ______________________________________________________________________
Seconder’s Name: (Please print) ____________________________________________________
Address: _______________________________________________________________________
Signature: ______________________________________________________________________
I accept the above nomination (Nominee to sign here): ________________________________________
First Preference (if nominating for State and General positions):
☐ State/Territory
☐ General
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