To nominate for membership of the CCSA Board please submit this form by 5pm on Tuesday 6 September 2022.

Before submitting this form, please ensure that this CALL FOR NOMINATIONS FORM has been completed and forwarded to CCSA.

NOMINEE DETAILS

Please provide the following information to support your nomination for membership of the CCSA Board.

NOMINEE RESUME: Please provide a maximum of 200 words for each answer.

This information will be provided to members in the notice of the Annual General Meeting.

NOMINEE COMPETENCIES: Please provide a maximum of 200 words for each answer.

This information will be provided to members in the notice of the Annual General Meeting.
- include your understanding of the role of the director of a board.
- financial Literacy is the the ability to read and comprehend accounts and financial material, and contribute to sound growth/financial management strategies.
- strategic expertise is the ability to review issues through constructive questioning and suggestion and contribute to the effective decision-making of the board.
- managing people and achieving change, experience in current management thinking on employment, strategic vision and stakeholder communication.
– experience in managing areas of major risk to the organisation.
- the range of knowledge and expertise you can bring to the board.

ESSENTIALS CHECKLIST

Please indicate that you agree to:(Required)
I hereby agree to the above essential conditions(Required)
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NOMINEE DECLARATION

I,(Required)
of(Required)
• I am not disqualified or prevented by law from being a Director • I do/do not have any potential conflicts of interest (i.e. employment in a similar organisation, have a sub-contract with CCSA, on the board of an organisation that provides similar services etc.) Having a conflict of interest does not prevent you from nominating for the Board. If you have a conflict of interest please state the nature of the interest: Having a conflict of interest does not prevent you from nominating for the Board. If you have a conflict of interest please state the nature of the interest:
If elected, I agree to abide by the code of conduct, policies and procedures and othe Board docuemnts as approved by the Board.
Name(Required)
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