Board Membership application - South Gippsland Bass Coast LLEN

Board Membership application for 2021/2022

Nominations for the Board close at close of business on 6 June 2022.
All current members of the SGBCLLEN are eligible for nomination.
The Candidate must be a member of the SGBCLLEN.
The nomination must be supported by two current SGBCLLEN Members. We can help you with this, please contact us or follow the instructions below
Positions are generally held for two years unless an earlier resignation creates a casual vacancy.

Candidate Name*
Name of Person seeking nomination
Names of Two Members who nominate the Candidate*
Please list 2 members of the SGBCLLEN who support and accept your nomination as a member of the Board of Management of the South Gippsland Bass Coast Local Learning and Employment Network Inc. If you need assistance from us in this regard please type "please help me find members to support my nomination"
Candidate's Organisation (if applicable)
Position in Organisation (if relevant)
Please tell us why you are applying for Membership to the Board of SGBCLLEN*
If accepted as a Board member you are bound by the Rules of the Association and all organisational Policies, Procedures and Codes of Conduct*
Rules of association (PDF download 245Kb)
- I/We agree
Residential Address*
Street Address Town Postcode
Is your postal address different from above
- Yes
Postal address*
Street Address Town Postcode
Phone*
Email*
Date of Birth (required for ACNC reporting)
can be provided at a later date if preferred
MM slash DD slash YYYY
Board Membership category*
- Community: An individual Member who has an interest in supporting the work of the LLEN in the two local government areas of South Gippsland and Bass Coast.
- Organisation: Officially appointed as a person to represent that organisation on our Board. This representative can change over time