2011 Nomination Form Executive Position

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Nomination Form: VADEA Executive Committee

Position 2011-early 2012


Nominee:

………………………………………………………………………………………………….
First Name Surname

Position/s Nominated for

…………………………………………………………………………

Please attach a short 100 word statement identifying your interest and suitability for
the nominated position. This will be made available to members prior to the AGM on
the website

Nominated
by………………………………………………………………………………………………
First Name Surname Signature

Seconded by:
………………………………………………………………………………………………
First Name Surname Signature

As the person nominated above I consent to the nomination:

…………………………………………..
Signature of nominee
Home address:

…………………………………………………………………………………………….

Postcode:……………………..

Phone:…………………………………Mobile:………………………...

Email:……………………………………………………………………………………………

School /institution:

……………………………………………………………………………………….

Phone:………………………………………………….Fax:…………………………………

Fax before 4pm March 24 to:


Secretary VADEA
c/- Professional Teachers Council Fax no: (02) 9564 2342 Ph: 02 9564 3322

Note: Nominator, seconder and nominee must be financial members of


VADEA for the nomination to be valid.

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