DIRECTOR NOMINATION FORM

This Director Nomination Form and Candidate Resume and Statement must be lodged by 4.00 pm, on Wednesday, October 11th, 2023. 

This nomination form will not be valid unless all parts are completed. Nominations received after the closing date cannot be accepted.

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* 1. What is your full name?

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* 2. What is your gender?

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* 3. What is the address of your principal place of residence?

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* 4. What is your phone number?

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* 5. What is your e-mail address?

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* 6. What is your Home Golf Club (if applicable)?

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* 7. What are the proposer's details?

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* 8. What are the seconder's details?

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Please complete all details below, using no more than 400 words per question.

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* 9. Please list details of all past Board and Committee involvement

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* 10. Please list your employment history, academic qualifications, industry experience and specific skill sets.

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* 11. Please provide details of your interest and involvement in sport - list competitive, social, voluntary, leadership involvement including any achievements.

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* 12. What attracts you to being a Director of Golf NSW? What contribution do you believe you could bring?

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* 13. To complete your application, please upload the completed "Signatures" file.

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* 14. Please upload a clear and current image of yourself.

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