friends nomination form - Frome Valley Medical Centre

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FRIENDS OF FROME VALLEY MEDICAL CENTRE
Registered Charity No 1073302
NOMINATIONS FOR ELECTION OF COMMITTEE MEMBERS
(The members of the Committee retire each year but may offer themselves for re-election at the AGM)
Please complete and return to: The Secretary – contact details below or
email:maryfordham@virginmedia.com - or place in Friends box at the surgery
Nominations may only be proposed & seconded by voting members (over age of 18 years & registered at
Frome Valley Medical Centre) Should nominations exceed vacancies, election shall be by ballot.
Nominations must be received no later than 14 days before the AGM (BY 19 th December 2014)
ANNUAL GENERAL MEETING – OPEN MEETING – ALL WELCOME
WEDNESDAY 3RD DECEMBER 2014 – 7.30 pm AT FROME VALLEY MEDICAL CENTRE
WE WISH TO NOMINATE -– Print Candidates Name: ………………………………………………
For the position of: (please tick)
Chair
Secretary
□
□
Committee Member
Treasurer
□
□
Signature of Proposer 1: ______________________________ Date:
____
Signature of Proposer 2: _______________________________ Date: ____
Consent of Candidate
I, ____________________________________ am willing to take on this role if I am
elected to this position at the Annual General Meeting of the Friends of Frome Valley
Medical Centre
Full address of candidate (including postcode):
……………………………………………………………………………..
e-mail: ………………………………………Tel: ………………………………………Mobile …………………
Signature of candidate: ……………………………………………………………….Date: …………………
Age Group (please tick - optional) Our aim is that the executive committee of the Friends represents the
wider community
18 – 24 yrs □ 25 – 44 yrs □
45 – 64 yrs □
65 + yrs □
Date Received ……………………………………. Received By …………………………
____________________________________________________
Chairman of Trustees :
Secretary :
Treasurer:
Stephen Kong 59 Rectory Rd Frampton Cotterell BS36 2BP
Brian Rogers Carbry Hollow, The Dingle, W/B Down BS36 1AA
Mary Fordham 29 Watleys End Road Winterbourne BS36 1PH
Dr. Geoff Clarke 13 South View Frampton Cotterell BS36 2HT
Friends of Frome Valley Medical Centre (“the Charity”)
Registered Charity No 1073302
Notice of Annual General Meeting
In accordance with the Constitution :
Notice is hereby given that the 2014 annual general meeting of the Charity will
be held at Frome Valley Medical Centre on Wednesday 3rd December 2014 at
7.30pm for the following purposes:
1. The confirmation of the minutes of AGM held on 4th December 2013
2. To receive the reports of the Executive Committee, review and
consideration of the accounts of the Charity for the year ended 3rd
December 2014.
3. To receive nominations for election to the Executive Committee
4. To elect the committee members and Honorary Officers of the Charity
5. To consider proposals for and pass resolution to consult with members
and carry out review of the Constitution
6. To pass resolution to appoint a Patron of the Charity
7. To appoint Patron of the Charity.
For and on behalf of the Friends of Frome Valley Medical Centre
Mary Fordham
Secretary
Email: maryfordham@virginmedia.com
Tel: 01454 775003
Date: Tuesday 4th November 2014
Any individual over the age of18 years, registered at the Medical Centre, have
automatic membership of the Friends, shall be classed as voting members, can
exercise their right to vote on various issues at the AGM, and are eligible to stand for
election to the Executive Committee.
 Nomination Forms available from reception desk at the surgery or from the
secretary on 01454 775003
 Nominations in writing must be received by the secretary by Wednesday 19th
November latest (Collection Box at reception in surgery
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