Life Membership Nomination Form

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Please complete all sections to ensure the nomination is valid.

Nominations must be submitted no later than 5pm AEST on Friday 22 September 2023.

Nominator's contact details

First Name

Last Name

Moblie Number

I declare that I am a current financial member of the AASW.

YESNO

I declare that I have provided all relevant information to meet the specified criteria.

YESNO

I declare that to the best of my knowledge, the details provided in this nomination are true and correct.

YESNO

I declare that the Nominee meets the general and specific eligibility requirements as outlined in the Guidelines for AASW Life Membership document.

YESNO

Nominee's details

Nominee's First Name

Nominee's Last Name

Evidence of direct and significant contribution to the AASW. Contribution can relate to policy, practice groups, officeholder roles or other pertinent activities and involvement that have assisted in the ongoing development, success, effectiveness, advocacy etc., of the AASW (Max 1000 words).

Explain how the Nominee has contributed to a positive image within the Association and how they meet the criteria to be of good standing with the AASW. (Max 1000 words).

Provide a short profile that describes the Nominee, including their current role. This short profile may be used for promotional purposes and/or to announce the Nominees successful nomination for Life Membership at the AASW AGM. (Max 1000 words).

The completed Nomination for AASW Life Membership form above must include the attachment of supporting evidence in the form of:

A career summary
Officeholder positions held within the AASW
Clear evidence of length of tenure on AASW committees
Key achievements that directly contributed to the ongoing development, success, effectiveness, or advocacy of the AASW
Profile picture of Nominee.

Attachment 1

Attachment 2

Attachment 3

Attachment 4

Attachment 5

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Contact Information