Nomination Form for CCN Committee 2019/20

Download a copy of the form here and Email this form to:   This email address is being protected from spambots. You need JavaScript enabled to view it.  and    This email address is being protected from spambots. You need JavaScript enabled to view it.

To the CCN Inc National Committee   

If you are nominating someone else, please complete Part I.  Ask your nominee to complete a full copy of the form to show their agreement and eligibility and send it to the same email addresses.

PART 1 - NOMINATION:
I would like to nominate myself / the following person * for CCN Inc National Committee:

NAME: ___­­­­­­­­_______________________________________________

ADDRESS: _____________________________________________     POSTCODE: __________  

EMAIL ADDRESS: __________________________________________PHONE:  ____________  

       *  delete whichever does not apply.

Nominated By:  
[   ] Self   [   ] CCN Inc Member NAME:  _____________________ STATE: _____ 
- - - -- - - - - - - - -- - -- - - - -- - - - -- - - -- - - - -- - - - - - - -- - - -- - - - -- - - - -- - -- - -- - -- - - -- - -- -- -- -

PART 2NOMINEE’S DECLARATION:

[   ] I have read the CCN Inc Constitution and understand the role and responsibilities of committee members.  See: CCN Inc Constitution     https://www.celebrations.org.au/home/about-us/2503-ccn-constitution-2018

[   ] I declare I am eligible for Committee and I do not have an actual or
       potential conflict of  interest.

[   ] I am willing to accept this nomination
[   ] I am a financial CCN Inc Member
[   ] I can access the CCN Inc Members Forum and I am able to post on this forum.

AREAS:


Interested in: _______________________________________________________

__________________________________________________________________

__________________________________________________________________

Skills to offer: ______________________________________________________

__________________________________________________________________

__________________________________________________________________

Things I’d like to learn:  ______________________________________________

__________________________________________________________________

_________________________________________________________________


NOMINEE SIGNATURE   _______________________________________                              

Contact email:                   _______________________________________

 

Last modified on Thursday, 02 May 2019 08:26