NOMINATION FORM - MEMBER
Nomination for position as MEMBER of the National Council of the Electric Energy Society of Australia for 2019/2020.

For nominations to be valid, the nominator and the nominee must be EESA members* and must have held at least two years of continuous membership up until the time that nominations for this position close, which is 31 October 2019.

*Holders of the free student membership are not eligible to nominate or be nominated for National Council positions.
Email address *
NOMINATION
This section is to be complete by the nominator.
Nominee name
Your answer
Nominee chapter
The person named above is hereby nominated for election to the National Council of the Electric Energy Society of Australia for the year 2019/2020.
Nominator name
Your answer
Nominator email address
Your answer
Will you (the nominator) have held at least two years of continuous membership with the Electric Energy Society of Australia up until 31 October 2019?
What type of membership do you hold?
NOMINEE CONSENT
This section is to be complete by the nominee.
I consent to the nomination and agree to the publication of the information on this form, for the election information. If elected, I consent to have my contact details made available to other EESA and Engineers Australia office bearers and members for the sole purpose of EESA business. I understand that, as a volunteer, I will be required to attend regular EESA National Council meetings (including interstate meetings) and undertake roles as assigned to me during my period of office.
Nominee name
Your answer
Nominee email address
Your answer
Will you (the nominee) have held at least two years of continuous membership with the Electric Energy Society of Australia up until 31 October 2019?
What type of membership do you hold?
CANDIDATE PROFILE
This section is to be complete by the nominee.

Provide details of your history with EESA. List your reasons for seeking election to the National Council of EESA. Address any particular competencies or personal qualities that would contribute to the National Council of EESA.
Candidate statement (500 word max)
Your answer
Send your named head-and-shoulders candidate photo to admin@eesa.org.au
NOTES ABOUT COMPLETING THIS FORM
Once you have completed your section of the form, press "Submit". You will receive a confirmation email which contains a link to edit the form ("Edit response"). Forward the confirmation email to the nominee or nominator as appropriate, so that they may complete their section of the form.

You may edit this form at any time up until the time when nominations close. To save your progress at any time, press "Submit".

This form must be submitted no later than 11:59pm AEDT Thursday 31 October 2019.
A copy of your responses will be emailed to the address you provided.
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