Propel Board Nomination Form 2024

Board Member Nomination Form 2024

Propel Youth Arts WA
Thank you for your interest in nominating for the Board of Management at Propel Youth Arts WA. Nominations will close at 5 pm on Monday 1 July 2024.

If you would like to nominate but are not a current Propel member, you will need to apply to become a member, and your membership application must also be received by 5 pm on Monday 1 July 2024.

Click here to become a Propel member.
Nominee Details
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number, mobile preferred.
Address*

Street Address

Street Address Line 2

City / Suburb / TownState / Territory

Post Code
Date of Birth*

DayMonthYear
What are your pronouns?*

He / HimShe / HerThey / ThemPrefer not to sayOther
Which of the below best describes your cultural background?*

Aboriginal or Torres Strait IslanderComing from a culturally or linguistically diverse backgroundComing from an English-speaking backgroundPrefer not to sayOther
Do you identify as someone with a disability?*

YesNoPrefer not to say
If yes, please describe your access requirements below:
Membership Details
Are you currently a member of Propel?*

Yes, for more than one monthYes, I have just signed upNoUnsure
Become a Propel member!

If you are interested in nominating but are not a current Propel member, you will need to apply to become a member, and your membership application must also be received by 5 pm on Monday 1 July 2024. Click here to join.
Skills and Representative Areas
Please select no more than two of the below options, to provide us with an idea of your skill-set or representative area.*

Philanthropy and PartnershipsNot-For-Profit GovernanceFinanceInformation TechniologyWA Arts or Youth SectorAdvocacy and PolicyWA Education SectorConnections to Regional WAYouth (aged 26 or under)LawOther (please specify)
Nominee Biography
Provide a 100-word biography written in third person. This will be included in the Notice of Annual General Meeting sent to all members prior to voting.*

0/100
Board Statement
Tell us why you think Propel members should vote for you to be part of the Board, in 100 words or less.*

0/100
Declaration
Is your nomination seconded by another Propel member?*

YesNo, I am nominating myself
Is the other Propel member aware that they are seconding your nomination?*

YesNo
Please provide the full name of the Propel member seconding your nomination:

First NameLast Name
Please get in touch!

Let the other person know that you would like them to support your nomination if you have not already done so, as we may be in touch with them to confirm that they approve your nomination. If you do not know anyone who is a Propel member, please contact the Propel team at hello@propel.org.au and we can assist.
Should be Empty:

Board Member Nomination Form 2024

Thank you for your interest in nominating for the Board of Management at Propel Youth Arts WA. Nominations will close at 5 pm on Monday 1 July 2024.

Nominee Details

Membership Details

Become a Propel member!

Skills and Representative Areas

Nominee Biography

Board Statement

Declaration

Please get in touch!