Form Owner: www.raisethegong.org.au

Board Member Nomination Form

This form is to be used for formal nominations for board member positions with Raise The Gong Inc.

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I am hereby nominating for a position on the Management Committee of Raise The Gong, to participate as a board member.

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(more information can be found in the Committee Nomination Policy or on our website)

I understanding that in nominating for this position I have met the following conditions, and/or agree to the following statements:

As per the terms of the Incorporations Associations Act, all nominations for board member positions must be seconded by another financial member of the organisation. This may occur at the Annual General Meeting if the nomination is successful.

OFFICE USE ONLY

Signature and Date

Seconded By

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