Home Our Club Documents Board Nomination

Board Nomination

The below form is for the position of Director for the period of 1 year.

Date*
MM slash DD slash YYYY
FULL NAME*
FULL NAME OF NOMINATED PERSON*
Person who is being nominated for the position
FULL NAME OF NOMINATOR*
Name of person nominating/endorsing the above mentioned person
FULL NAME OF SECONDER*
Name of person seconding the nomination (is an additional person to the name mentioned above)
NOMINATION CONSENT*
I declare that the above stated Nominator and Seconder are aware of my application.
DECLARATION BY NOMINEE*
All Nominees are requested to provide a photograph and a short profile (not more than two A4 pages, including photograph) for circulation to members using the format provided below. No other documentation relating to the Nominee will be circulated to members.

Under the SLSA Member Protection Policy, any member of the Board who does not provide a full Police Clearance to the President by the first Board meeting after their election could be considered as a breach and result in disciplinary action in accordance with the Policy and/or other SLSA regulations.

Nominations must reach the Club office info@mullaloosurf.com.au or PO Box 119, Hillarys, WA 6923 by 3pm, Friday 28 OCTOBER, 2022.
I, accept the above nomination and understand that, if successful, I will be required to undergo a clearance process as outlined in the Surf Life Saving Australia (SLSA) Policy 6.05 - Member Protection.
UPLOAD PHOTOGRAPH*
Max. file size: 6 MB.
QUALIFICATIONS*
RESUME UPLOAD (OPTIONAL)
Max. file size: 6 MB.
EXPERIENCE*

Alternatively you can download the Board Nomination Form in PDF format below: