Committee Nomination Form 2025/26

Simpson Barracks Community Centre

Committee nomination form 2025/26
I am already a member of SBCC*

YesNo (please note all nominees MUST be current financial members of SBCC at time of nomination)
Name

First NameLast Name
Email address
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Number*
Please enter a valid phone number.
Position nominating for *
Position nominating for *
this is second choice if original position is already filled
I understand that if appointed to the committee I will put aside a minimum of 5 hours a fortnight (either in person, online, administrative tasks and meeting attendance)*

Yes
I agree to get my Victorian WWCC within 4 weeks of being appointed and forward the information to the Secretary once complete. If I already have my WWCC I agree to provide the number below. Please note only Vic WWCC will be valid.*

Yes
I agree to complete the online induction on the DMFS Committee Hub and read the Governance handbook outlining roles and responsibilities of committee members*

YesOther
Please provide your Vic WWCC if you already have one:
Tell us a little about yourself. This helps us understand your interest and experience. (Short paragraph or bullet points welcome) Include any relevant community involvement, skills, or reasons for wanting to join the SBCC committee.
Nomination form must be submitted by 12 noon on Wednesday 3rd September. Late nominations will not be accepted
- Committee members are appointed for 1 year OR until the AGM of that financial year where all positions must be re-applied for
- If you are nominating for a committee position, you must be present at the AGM in person
Signature

Clear
For Office use only
to be proposed and seconded by two current financial members (as at 28th August 2025)
Name: blank
Signature: Signature
Date:Date
Name: blank
Signature:Signature
Date:   Date
Should be Empty:

Simpson Barracks Community Centre