Nomination Form

Please complete the form below and submit it. Your responses will be sent to the County Commissioner.

I would like to nominate the person below for the position of:
Details of person you wish to nominate: Name:
Address including postcode:
Membership No. (if known):
Contact Telephone Number:
Email Address:
Their Guiding Experience (past and present): Guide Appointments:
Guiding and other experience/qualifications relevant to the position:
I would like to nominate the above person because......
Proposed by (Name):
Email Address: