Australian Marketing Institute State Committee Nomination Form

Australian Marketing Institute
Nomination for State Committee and Emerging Marketer Committee Members for 2019/2021
NOMINATION FORM

All nominations and supporting information must be submitted to the Australian Marketing Institute via this online form. Confirmation will be sent upon receipt of nomination. If a confirmation has not been received within 2 working days, please contact the Australian Marketing Institute.
I, (Full Name)*
nominate as a member of the 2019/2021 State Committee/Emerging Marketer Committee for the Australian Marketing Institute. I confirm that in lodging my nomination I am a financial member and I am aware of and agree to perform my duties as a committee member (Board Charter, Guide to State Committees and Code of Professional Conduct). For more information on obligations of Committee members click here.
I am a financial AMI professional Member:*

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I wish to nominate for the position of a Member of the following committee(s)*
Please, choose a committee
Your name, title, organisation and biographical statement will be available to AMI Directors and Management.**
I understand that, if selected, I will be required to attend meetings of the Committee and fulfil my duties as a member in accordance with the Australian Marketing Institute Limited Constitution.
Title:*
First Name:*
Last Name:*
Position:*
Organisation:*
Business Address:*
Suburb / Town:*
State:*
Postcode:*
Telephone:
Mobile:
Email*
Confidentially Agreements: Nominees to the State Committe are requested to submit a confidentially agreement with this nomination form.

Download here
Please upload confidentiality agreement (PDF)

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Biographical Statement: Nominees to the State Committee and Emerging Marketer Committee are requested to submit a biographical statement of up to 250 words with this nomination form. This statement may include:

- A description of current and past roles;

- Education;

- Demonstrated committee or governance experience
Please upload Biographical statement (PDF or .doc)

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By clicking on the 'submit' button below, I hereby apply to nominate as a member of the 2019/2021 State Committee/Emerging Marketer Committee (as nominated above) for the Australian Marketing Institute on the basis of the information provided on this form.
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Australian Marketing Institute

NOMINATION FORM

All nominations and supporting information must be submitted to the Australian Marketing Institute via this online form. Confirmation will be sent upon receipt of nomination. If a confirmation has not been received within 2 working days, please contact the Australian Marketing Institute.