Nomination of Squash Southland Board Member
Note: Nominations for Member must be made on this form by the due date.
Nominations may not be taken to the AGM.
Section A – To be completed by the person making the Nomination:
I _________________________________________ wish to nominate
__________________________________________ as a Board Member.
Signed: ____________________________
Date:
____________________________
Section B – To be completed by the Nominee
1. All nominees are required to supply an attached profile outlining their club/district
involvement, present and past experience within the sport, and their relevant goals for the
future development of Squash in Southland.
2. Please also indicate any relevant qualifications which would be beneficial to being on the
Squash Southland Board.
I consent to the above information being collected and held by Squash Southland and
distributed for the purposes of administering squash in New Zealand/Southland and in
particular for the purposes of the 2014 Annual General Meeting. I acknowledge my right
to have access to and correct the above information. This consent is given under the
Privacy Act 1993.
Signed: ____________________________
Date: _____________________________
This form is to be completed and returned no later than Friday 16th January 2014 to:
Squash Southland,
PO Box 751,
Invercargill 9840