First Name*

Last Name*

Contact Number*

Email*

State*
---ACTNSWNTQLDSATASVICWA

University/Workplace/Institution*

Degree/Job Title*

Preference 1*
---PresidentVice PresidentSecretaryOperations and Projects ManagerNational Engagement ManagerTreasurerACT State RepresentativeNSW State RepresentativeNT State RepresentativeQLD State RepresentativeSA State RepresentativeTAS State RepresentativeVIC State RepresentativeWA State RepresentativeStrategic Partnerships CoordinatorScholarships CoordinatorMarketing and Communications ManagerSystems AdministratorLegal OfficerPeople & Culture Manager

Preference 2
---PresidentVice PresidentSecretaryOperations and Projects ManagerNational Engagement ManagerTreasurerACT State RepresentativeNSW State RepresentativeNT State RepresentativeQLD State RepresentativeSA State RepresentativeTAS State RepresentativeVIC State RepresentativeWA State RepresentativeStrategic Partnerships CoordinatorScholarships CoordinatorMarketing and Communications ManagerSystems AdministratorLegal OfficerPeople & Culture Manager

Preference 3
---PresidentVice PresidentSecretaryOperations and Projects ManagerNational Engagement ManagerTreasurerACT State RepresentativeNSW State RepresentativeNT State RepresentativeQLD State RepresentativeSA State RepresentativeTAS State RepresentativeVIC State RepresentativeWA State RepresentativeStrategic Partnerships CoordinatorScholarships CoordinatorMarketing and Communications ManagerSystems AdministratorLegal OfficerPeople & Culture Manager

What is your motivation for joining the national committee?*

What do you hope to achieve in your preferred role(s) in 2020?*

What previous experience has prepared you for this role?*

Describe yourself in 3 words*

Resume*

Declaration
If you have any further information that is pertinent to your application, please include it here.

Reference 1 Name

Reference 1 Email

Reference 2 Name

Reference 2 Email

I have read and understood the position requirements for each nominated position and I comply with the AYAA Nominations Policy attached at the top of the page.

I consent to allow my personal details to be shared exclusively with the AYAA National Committee for the purposes of this voting process.