Committee Change form

Please click on survey to start

Question Title

* 1. First Name & Surname

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* 2. Contact details

Mobile

email address

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* 3. Which Community of Practice are you representing?

Select all

Genxt

Inspire

Pulse

Foundation

Practitioner

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* 4. Please comment on the change in the committee*

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* 5. Resignation of a committee member / New member/co-chairs etc. Please provide names and email addresses of new members. New members must complete a NDA (refer to dropbox)