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PONY CLUB Australia Ltd
73-75 Mackie Road, Mulgrave 3170National Chair: Carol Paterson P: 03 8685 8925 | E: [email protected]: 0428 531 359 | P: 07 4653 1359 ABN: 95 090 080 265 National Secretary: Judy Pitt www.ponyclubaustralia.com.auM: 0428 593 591 | P: 03 6396 6191 Patron: Gillian Rolton
Nominations close: 1st May 2015
PCA Board Nomination FormNominee Information
Full name: ...................................................................................................................................
Postal address: ...........................................................................................................................
Phone(h): ......................................................... Phone(w): ......................................................
Email: ..........................................................................................................................................
Nominee DeclarationI understand that if I am elected to the PCA Board I will need to relinquish any position as; an employee of PCA, a Member State, Affiliated or Corporate Member or any Official Position with a Member State and that I am not a Director of PCA where clause 13.5.2 applies.
Signature: .............................................................................................. Date: ........................
Nominee Ratification
Full name: ...................................................................................................................................
State: ................................................................ Position held: ................................................
Signature: .............................................................................................. Date: ........................
Please ensure you complete the Nominee Experience & KnowledgeThank you for your nomination
Nominees should be aware that they should be present at the AGM so if elected they can take their place on the board immediately.
![Page 2: Board of Directors Nominee Form - gisborne.ponyclubvic.org.au€¦ · Web viewPONY CLUB Australia Ltd. PONY CLUB. Australia Ltd. 73-75 Mackie Road, Mulgrave. 3170. National Chair:](https://reader035.vdocuments.site/reader035/viewer/2022081613/5fbbbf02e9a5ef343426d3fc/html5/thumbnails/2.jpg)
PONY CLUB Australia Ltd
Nominee skills and experience
Full name: ...................................................................................................................................
Please tick any of the following skills or experience that you may possess:☐ Finance, accounting ☐ Management, administration
☐ Grant writing ☐ Nonprofit experience
☐ Fundraising and event management ☐ Legal
☐ Public relations, communications
Why are you interested in joining the Pony Club Australia Board?
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Pony Club experience, knowledge and current positions:
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Professional experience, current position and education:
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Previous board experience (if any):
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Affiliations or organisations the candidate belongs to (e.g., membership, professional).
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Please attach a passport size photograph (jpeg) and 250 word (word doc. format) statement about yourself and your experience to be included in voting information. All applications should be emailed to [email protected] and marked as Board Nomination.