IAA Board Nomination of Member - Internet Association of Australia

IAA BOARD NOMINATION OF MEMBER FORM

Please use this form if you intend to nominate a candidate other than yourself for a position on the IAA Board. If you would like to nominate yourself, please use the Self-Nomination Form.

This year, there are three seats available, two for three-year terms, and one for a one-year term.

Nominator's Name(Required)

Your name

First Last

Nominator's Membership Category(Required)

Please select the IAA Membership type you hold

Professional

Corporate

Corporate Member Entity Name(Required)

Name of IAA’s corporate member with which you are affiliated

Nominator's Email(Required)

Your email

Nominator's Phone(Required)

Your phone number

Candidate's Name(Required)

Name of the person you are nominating for the IAA Board

First Last

Candidate's Membership Category(Required)

IAA Membership type held by the candidate

Professional

Corporate

Corporate Member Entity Name(Required)

Name of the Corporate Member with which the candidate is affiliated

Candidate's Email(Required)

Email address for the person you are nominating for the IAA Board

Candidate's Phone(Required)

Phone number for the person you are nominating for the IAA Board

Do you have the consent of the candidate for this nomination?(Required)

If you have not received their consent, IAA will contact the candidate to seek consent prior to any election. This nomination may lapse if consent cannot be confirmed.

Yes

Biography Statement(Required)

A brief statement to introduce the candidate, including any information relevant to the expertise the candidate would bring to the IAA Board.

Nomination Statement(Required)

A brief statement to address the reason for nomination and the value you believe the candidate would bring to the IAA Board.

Name

This field is for validation purposes and should be left unchanged.

IAA BOARD NOMINATION OF MEMBER FORM

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