GACT Gymsport Committee Nomination Form

Gymsport Committee Nomination Form

2019
Please note that ALL positions on ALL Gymsport Committees are open for nomination for the 2019
Closing Date: Friday 7 September, 2018
Please refer to the Gymsport Committee ByLaw and the Gymsport Committee Information Sheet available on the Gymnastics ACT website for 2019 Gymsport Committee position nominations.

Please note if applying for more than one (1) position you will need to fill out one form for each position.
GYMSPORT
GC Position
Name *

First Name Last Name
Date of Birth *

Day Month Year Date Picker Icon
E-mail Address *
Please ensure that this email address is checked regularly as most communication will be distributed to the listed email.
Contact Mobile Number *
Technical Member Number
(If Applicable)
Working with Children Check/Registration to Work with Vulnerable People
Registration Number
WWVP Expiry Date

Day Month Year
Date Date Picker Icon
INFORMATION IN SUPPORT OF YOUR APPLICATION
List/summarise your experience/skills/qualifications as they apply to the desirable requirements (listed in the Position Description) of the role you are nominating for:
Supporting Documents

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Referee Information
Name

First Name Last Name
Position
Email
example@example.com
Phone Number

Area Code Phone Number
Declaration
I understand the documents which govern the management of Gymnastics ACT Gymsport Committees, in particular the Gymsport Committees Bylaw and the Desirable Requirements for the role/s I’m nominating for.

I understand that if successful in my nomination I will be asked to sign an agreement abiding by relevant policies and documents.

I declare that the information I have provided on this Nomination Form and any attached information is correct.
Signature
Date

Day Month Year
Date Date Picker Icon
Should be Empty: