Nomination Form - SV Board Director

Nomination Form

Swimming Victoria Director
I (Nominee)*

First NameLast Name
of (Address)*

Street Address

Street Address Line 2

CityState

Post Code
Mobile Phone Number*
Format: 0000 000 000.
Email*
example@example.com
Nominate myself for election as a Director of Swimming Victoria, and if elected, agree that I will be bound by the Swimming Victoria Constitution, the Swimming Victoria Board Charter and all relevant rules, regulations and policies of Swimming Victoria, as well as the relevant provisions of the Associations Incorporation Reform Act (Vic) 2012 as amended from time to time.
I have read, and understand, the selection process as defined in clause 15D of the Swimming Victoria ConstitutionI declare that I do not currently hold a Disqualifying Position as defined in clause 15C(2) of the Swimming Victoria ConstitutionI agree to abide by the Swimming Victoria ‘Values and Behaviours’ during the selection processI declare that I am not declared as bankrupt or subject to an arrangement under Part 10 of the Bankruptcy Act 1966 of the Commonwealth of AustraliaI am an individual of good reputation and character and have not been the subject of professional sanction or criminal charges relating to offensive behaviour, workplace or online bullying, property damage, sexual harassment or racial vilification either in Australia or a foreign country. I have not been charged with or convicted of any offences relating to dishonesty, fraud, financial markets-related conduct or money launderingI agree that all information that I provide with this nomination may be uploaded by Elections Australia as part of the online election processI have attached my Election Statement and other relevant information to support my nomination and addressed the required skills contained in the position description
Please sign the signature panel OR upload your digital signature below
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Digital Signature

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Date*

DayMonthYear
Nomination Submission/Completion
- Please complete the following sections. Note this information will be used to create and publish your Election Statement for the online election process
- Personal Statement - What prompted you to nominate for this position? What are you passionate about? What personal interest/ involvement do you have in Swimming? What do you feel you can contribute to the Board? (Max 300 Words)*
  
  0/300
- Relevant Competencies, Skills & Experience - Please describe how your competencies, skills and experience align with the Board Director Position Description (Max 600 Words)*
  
  0/600
- Academic Qualifications - Please enter any relevant academic qualifications you have that supports your nomination (If none enter None/Nil)*
- Headshot/Photograph*
  
  Please upload a current headshot that will be used as part of the online election process
  Cancelof
- In accordance with clause 15D of the Constitution nominations must be submitted to the CEO of Swimming Victoria no later than 30 June in each relevant year.
  
  You are able to save this document and complete at a later date by clicking the SAVE button below. Note however, that for the submission to be eligible it must be received by Swimming Victoria no later than 30 June.
  
  By clicking the Submit button below this application will be automatically sent to: ceo@vic.swimming.org.au
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