Nomination for Management Committee

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Use this form to nominate for a position on the Old Wollastonian's Association management committee.
Use a new form for each position nominated.

Email *

Full Name *

Postal Address *

Year of Graduation/Class of *

I am an active (paid) member of the Old Wollastonians' Association Inc. *

I agree to stand for election as a member of the management committee for the position of... *

A person may only hold one position on the management committee. You may nominate for as many positions as you wish, however will be ineligible for consideration once elected to a position.

Provide an overview of your committee experience and relevant qualifications. *

Have you ever been convicted of any of the following offences: *

applies to a person who has been convicted of the above offences only for a period of 5 years from the time of the person’s conviction, or if the conviction results in a term of imprisonment, from the time of the person’s release from custody.

an indictable offence in relation to the promotion, formation or management of a body corporate

an offence involving fraud or dishonesty punishable by imprisonment for a period of not less than three months

an offence under the Associations Act 2005

None of the above

Required

Are you a bankrupt or a person whose affairs are under insolvency laws? *

Yes

A copy of your responses will be emailed to the address you provided.

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