• Nomination Form

    Nomination Form

    Swimming Victoria Director
  • Format: 0000 000 000.

  • 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 confirm my nomination by agreeing to, and completing with a check mark, all of the below statements*

  • Please sign the signature panel OR upload your digital signature below

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  • Date*
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    • Nominee Profile 

    • Please complete the following sections. Note this information will be used to create and publish your Election Statement for the online election process

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    • Nominee Photograph 
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    • Director Nominee Skill Matrix 

    • The Nominations, Remuneration and Governance Committee is preparing for the upcoming AGM and anticipated Board Director vacancies. As part of this process, the Committee is seeking to align the current skills, experience and expertise Nominees with available Director terms to support effective succession planning.

      This approach will provide the Nominations Remuneration and Governance Committee with a clearer view of the collective capability across the Board, including where specific skill sets may approach maximum tenure.

      This information will support more informed decision‑making by identifying skill gaps and opportunities when considering potential Board Director appointments.
      Please complete the survey below as accurately as possible. 

       

       

    • Please select your age bracket*
    • What gender do you identify as?*
    • Do you have a disability? (The Australian Bureau of Statistics defines disability as; A person who reports that they have a limitation, restriction or impairment, which has lasted, or is likely to last, for at least six months and restricts everyday activities")*
    • Do you identify as Aboriginal or Torres Strait Islander?*
    • Please select any that apply to you*
    • Core Skills 

    • Please rate your skills and experience in the following areas

       

       

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    • Technical Skills 

    • Please rate your skills and experience in the following areas 

       

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    • Behavioural Skills 

    • Please rate your skills and experience in the following areas 

       

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    • Sport Specific Skills 

    • Please rate your skills and experience in the following areas 

       

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    • Please rate your skills and experience in the following areas 

       

  • 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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