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Kildare PPN Representative Nomination Form: KCC Climate Action Strategic Policy Committee

Kildare PPN are currently seeking nominations from member groups for the following Representative position:

  • Climate Action SPC (Community and Voluntary Seat)

Please fill out the form below to submit a nomination on behalf of your organisation.

Only 1 nomination per group per committee will be accepted

1.Please choose the appropriate seat for your nomination(Required.)
2.Nominating Organisation(Required.)
3.Details of Nominee(Required.)
4.Candidate Statement (Up to 150 words) This will be circulated to members ahead of the election. State why you may be the most suitable candidate for the role.(Required.)
5.Upload Image/Headshot
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6.This nomination must be authorised by the nominee’s organisation. The Authorised Officer should be the organisation’s Chairperson or Secretary. Please provide the contact email address of the group's Chairperson or Secretary for verification of nomination(Required.)
7.Please confirm if the nominee is registered as lobbyists, per Section 4 of the Regulation of Lobbying Act 2015 and the Transparency Code & Ethics Framework(Required.)
8.The information provided in this form will be held by the Kildare Public Participation Network. View Kildare PPN's Private Policy here to see how your data is processed: https://bit.ly/3n6zGnX(Required.)