BAA Board Nomination Form - British Academy of Audiology |British Academy of Audiology

BAA Membership No:

Name

First

Last

Job Title

Employment Address

Postcode

Email

Phone Work

Phone (mobile)

Nominee Signature

Date

Declaration of self-nomination

Please tick box if this is a self-nomination e.g. no sponsors

Please only complete section if sponsors apply and this is not a self-nomination

Sponsor (1) Name

First

Last

BAA Membership No:

Sponsor (1) Signature

Date

Sponsor (2) Name

First

Last

BAA Membership No:

Sponsor (2) Signature

Date

All nominees must answer the following questions

In no more than 150 words, please state briefly why you wish to be a Board Director

0 of 150 max words

In no more than 150 words, please detail any skills and experience you have that would make you a good choice for board director

0 of 150 max words