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OEASA Committee Nomination Form

05E43BF055E94A79B983CA98F8687F6B

Your Details

First Name

Last Name:

Email Address

Phone Number

School or Organisation Name (if applicable):

OEASA Committee Nomination

I wish to nominate for the OEASA Committee at the AGM

Yes

No

Office Bearer Nomination (if applicable tick one or select Committee Only):

Chair

Deputy Chair

Treasurer

Assistant Treasurer

Secretary

Assistant Secretary

Committee Member - Please nominate for a sub committee below

Do you have a seconder for your nomination? If yes, please provide details:

If not nominating for a office bearer please nominate for a sub committee

Professional Development

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Events

Do you have anything else to add?

ABN: 26 588 063 701