life membership application - Variety Northern Territory

Life Membership Nomination (NT)

Please read through the below Life Membership Criteria before completing the nomination form. If you have any questions please contact Variety NT on 08 8981 2544 or [email protected]

Variety NT Nomination for Life Membership Criteria

- The nomination must articulate the reasons why Life Membership is considered appropriate.

- Where possible, specific examples of work or involvement in an initiative which has significantly assisted Variety NT should be cited. Length of membership alone is not appropriate.

- The nominee for Life Membership should have a minimum of 10 years active membership of Variety NT, unless exceptional circumstances can be cited.

- Life membership can be bestowed on a member for exceptional service as a Board member, a volunteer, or as a financial or material contributor.

Nomination and Selection:

- Official Nomination Form to be obtained from the Variety office or submitted online via the Variety website.

- To be nominated and seconded by 2 current members and supported by a critique of the nominee (we suggest between 100 and 350 words) addressing the above criteria.

- Nominations to be submitted to the Variety office at least 60 days prior to the Annual General Meeting.

- Awarding of Life Membership is to be decided by a majority vote of the Board of Management of Variety NT.

Date

Nominee

Please complete details about your nominee

Name(Required)

First Last

Address

Street Address Address Line 2 City State Zip Code

Phone(Required)

Is the nominee aware of the nomination?(Required)

Yes

Nominator

Please complete details about yourself

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State Zip Code

Phone(Required)

Email(Required)

Comments About Nominee

Please add comments in support of why you believe the nominee meets the criteria for Life Membership to Variety NT (100-350 words)

Additional comments or information can be emailed to [email protected]

Nominating Variety NT Member

Please advise of the Variety NT Member and seconder who are supporting your Nomination. (Please contact the office if you are unsure) Nominating Member and Seconder will be contacted for confirmation.

Nominating Member(Required)

First Last

Phone(Required)

Email(Required)

Member Seconder

First Last

Phone

CAPTCHA

Variety NT

Life Membership Nomination (NT)

Variety NT Nomination for Life Membership Criteria

Nomination and Selection:

Nominee

Nominator

Comments About Nominee

Nominating Variety NT Member

Follow Us

National

NSW/ACT

NT

QLD

SA

TAS

VIC

WA