Nomination Form / Secretariat / Leitrim PPN

Nomination Form: Leitrim PPN Secretariat (Board)

The PPN Secretariat act as the PPN's effective 'Board' and oversight committee. The Secretariat implement the decisions voted on by the Plenary (all member groups). The Secretariat is made up of 9 members; 2 from Social Inclusion Pillar, 2 from Environmental Pillar, 2 from Community and Voluntary Pillar and 1 from each Municipal District area; Ballinamore, Manorhamilton and Carrick-on-Shannon. Please read and fill out this nomination form if you wish to be considered for a vacancy on the Secretariat. The closing date for nominations is Tuesday 25th October, 5 pm.

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Page1: Eligibility Details

There are 4 vacancies on the Leitrim PPN Secretariat.

The 4 seats must include:
- 2 represenatatives from the Community Pillar.
- 1 representative for Ballinamore MD.
- 1 representative for Carrick-on-Shannon MD.
Those wishing to be nominated for the 4 seats must:
- Be part of an organisation registered with Leitrim PPN.
- Be over 18yrs of age.
- Be willing to dedicate time to attend board meetings and related.
- Adhere to Leitrim PPN's Code of Conduct.
How do we choose who fills the vacancies?

When all nominations are received, we will review each nominee's eligibility and where more nominations are received for seats available, we will hold an election for that vacancy. This will involve holding a meeting and circulating your biography for Leitrim PPN members to cast their vote.

For more information on the role of the Secretariat please consult the PPN Handbook, the chapter on the Secretariat is accesible through the link below. Simply copy and paste the link into your browser.

https://drive.google.com/file/d/1zS4oyKXarZHGRdm3A3ruEV2tKYMLeaxF/view?usp=sharing

Please read the Code of Conduct below. The Code of Conduct must be read and agreed to by all Secretariat members.

https://drive.google.com/file/d/1xajTSOGnrvULX2N2IiEYEUr-EIa4fcB7/view?usp=sharing

Apply now

On the next page, you can fill out your details to submit a nomination.
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Page 2: Submission Form

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Submission for *

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Name of Nominee *

First Name Last Name
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Organisation name *
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Organisation's PPN number *
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What PPN Pillar does the organisation belong to? *

Community and Voluntary Environment Social Inclusion I don't know
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What Municipal District in Leitrim is the organisation based in? *

Ballinamore Carrick-On-Shannon Manorhamilton None of the above
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Contact Details of Nominee

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Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

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Email *
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Phone Number
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Candidate Statement (Up to 150 words). This will be circulated to Leitrim PPN members ahead of an election. State why this Nominee may be the most suitable candidate for the role. *
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Page 3: Authorisation from Organisation of Nominee (Authorised Officer)

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This nomination must be authorised by the nominee’s organisation. The Authorised Officer is the organisation’s Chairperson. If the Chairperson and Nominee is the same person, this nomination needs to be authorised by a different office holder.

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Name *

First Name Last Name
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Position *
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Email *
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Mobile Number
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Signature *

Clear

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Nomination Form: Leitrim PPN Secretariat (Board)

Page1: Eligibility Details

Page 2: Submission Form

Contact Details of Nominee

Page 3: Authorisation from Organisation of Nominee (Authorised Officer)

This nomination must be authorised by the nominee’s organisation. The Authorised Officer is the organisation’s Chairperson. If the Chairperson and Nominee is the same person, this nomination needs to be authorised by a different office holder.

Page 4: Confirmation and Declaration

Thank you for filling in this nomination form.