Director Nomination (Nominee) - Australian & New Zealand Trauma Society

Step 1 of 3

To elect Board Directors for the term starting at the end of this year’s Annual General Meeting and concluding at the end of the Annual General Meeting in three years. The ANZTS Board By-Laws prescribe that the ANZTS Board must consist of at least:

Two (2) Australian residents; and
Two (2) New Zealand residents; and

May not exceed 50% representation from any one jurisdiction (e.g. State or Territory of Australia).

I wish to nominate the following person for the position of ANZTS Board Director:

Full Name(Required)

Address

Street Address Address Line 2 Suburb State Post Code Country

Contact Number

Email(Required)

Applicants must apply for a Director Identification Number (DIN) – required by ASIC Apply , and find out more

Proposer Full Name(Required)

Proposer Email(Required)

Proposer Signature

Seconder Full Name(Required)

Seconder Email(Required)

Seconder Signature

Notes:

Further information about the roles and responsibilities of ANZTS Board Directors can be obtained from the Secretariat: admin@anzts.com.au

Nominations must be received by 5pm AEST on the closing date.

A valid nomination requires the approval of proposer, seconder, and nominee. They must be ANZTS members entitled to vote. It will be acceptable, in respect of any given nomination, for there to be more than one email submitted, e.g. for the initial nomination to be emailed from various sources with additional signatures included.

Please provide a short bio
Reasons why you should be on the ANZTS Board
Do you have a Director Identification Number (DIN)(Required)

Yes

Application underway
Required by ASIC – Apply and find out more
Please provide Director Identification Number (DIN)(Required)

Nominee to Complete(Required)
I declare that:

I am not disqualified from managing a corporation, within the meaning of the Corporations Act 2001 (Cth) and

I have not been disqualified by the Australian Charities and Not-for-profits Commissioner at any time during the previous year from being a responsible person (what the ACNC Act calls a ‘responsible entity’) of a registered charity.

I am not a “undischarged bankrupt” or a person considered “insolvent under administration” and am aware a check of insolvency may be carried out.

Have not been convicted of a criminal offence in any jurisdiction.

If applicable, am not aware of any investigation regarding professional misconduct.

Further agree that, if any of the above occur that this document acts as a resignation from the board of directors of the Australian and New Zealand Trauma Society .

Acknowledge the duties include but are not limited to:

To act with reasonable care and diligence. You must exercise your powers and duties with the care and diligence that a reasonable person would if they were in your place.

To act in good faith in the best interests of the charity and for a proper purpose. When acting as a board member you must make decisions that are in the best interest of the charity and to further its charitable purpose.

Not to improperly use information or position. Any special knowledge that you gain as a ANZTS Board member must only be used for the benefit of the charity and never to further personal or other interests. Similarly, you must not use your position to improperly gain an advantage for yourself or someone else, or cause detriment to the charity.

To disclose conflicts of interest. If your duty to act in the best interests of the charity is in conflict with (or may conflict with) your personal interests you must disclose this responsibly. Please refer to the ANZTS Conflict of Interest Policy.

To ensure that financial affairs are managed responsibly. Ensure that there are systems and processes in place that ensure that the charity’s resources are being effectively put towards the charity’s charitable purpose and are protected from misuse.

Not to allow the charity to operate while insolvent. You must ensure that the charity can pay its debts when they are due or will become due and that it does not continue to operate if it cannot pay its debts.

While I am a responsible person for Australian and New Zealand Trauma Society , I agree to notify this charity as soon as possible if I do become disqualified from managing a corporation within the meaning of the Corporations Act 2001, or am disqualified by the Australian Charities and Not-for-profits Commissioner. Responsible persons are the members of a charity’s governing body who share responsibility for the governance of the charity (called ‘responsible entities’ under the ACNC Act).
Declared at(Required)
Street Address Address Line 2 Suburb State Post Code Country

(I, being a member of the Australian and New Zealand Trauma Society, agree to this nomination to the ANZTS Board of Directors.)
Nominee’s acceptance(Required)
CAPTCHA
Register of Interests
Description of Interest
Applicant actions to address the conflict