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Im4theArts Provincial Nomination_Western Cape
IM4THEARTS NATIONAL STEERING COMMITTEE NOMINATION FORM:
Provincial Nomination
Each person may nominate only one candidate to this position. The nominator and seconder must come from and be based in the Western Cape.
* Indicates required question
Email
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Your email
Name of the person who is being nominated (the nominee):
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Your answer
Gender of the nominee:
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Female
Male
Prefer not to say
Other:
Name of the person who is nominating the nominee (the nominator):
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Your answer
Name of the person who seconds (supports) this nomination:
*
Your answer
Motivation for the nominee (provide reasons why you believe the nominee will serve the members of Im4theArts well in this position):
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Your answer
Biography of the nominee (maximum of 250 words highlighting the nominee’s most relevant skills, experience, networks, etc; please request this information from the nominee):
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Your answer
Do you confirm that the nominee has agreed to be nominated?
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Yes
No
Do you confirm that the nominee has read, understands and agrees to abide by the Constitution of Im4theArts?
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Yes
No
Do you confirm that you are a full member of Im4theArts? (See Clause 6 of the Constitution):
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Yes
No
Do you confirm that your nominee is a full member of Im4theArts?
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Yes
No
Do you confirm that the seconder for this nomination is a full member of Im4theArts?
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Yes
No
I have read and understood the constitution of Im4theArts.
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Yes
No
A copy of your responses will be emailed to the address you provided.
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