University of Melbourne Graduate Student Association Online Nomination Form

First Name *

Last Name *

Student Email Address *

Phone Number *

Student ID Number *

Enrolment Status *

I confirm that I'm currently enrolled as a postgraduate student at the University of Melbourne and am not currently on a leave of absence from my course.

GSA Membership Status *

I confirm that I'm a GSA Member

Please note that you must also be a GSA Member to be eligible to run for election. This can be done by 'Opting in' though your eStudent Portal (Details section) and can be done after nominating but must be done before voting opens.

Course Name *

Expected Course Completion Date *

Type of Student *

For further information on Restricted Positions please read the GSA Constitution and the GSA Electoral Regulations

Which 'Restricted Position(s)' are you nominating for? *

GSA Representative Council Member: First Nations Officer

None of the 'Restricted Positions'

*To be eligible for 'Restricted Positions', you must identify with the related representative office.

Which Faculty Council position are you nominating for? *

Arts

Education

Fine Arts and Music

Law

*only select multiple options where you are enrolled in a program with cross-faculty components

Statement (max 200 words) *

Please provide a statement of your suitability for the role and your connection to the cohort nominated for. This will also be used as your candidate statement if confirmed.

I consent to the Returning Officer (or their delegate) verifying my personal details with the University. *

Yes, I consent to the above statement.

I understand that Board appointments are for 2 years and Representative Council appointments are for 1 year and I acknowledge that if appointed and I cease to be enrolled in my course during such a term I will no longer be eligible to hold the relevant position. *

Yes, I acknowledge the above statement.

I understand that I am seeking election to the GSA Board/Representative Council, which leads a not-for-profit organisation and, under the GSA Constitution and the Associations Incorporation Reform Act (2012), would place both governance & risk obligations and responsibilities upon myself, including liability consistent with those of a Board Director. *

Yes, I understand to the above statement.

I agree to adhere to the provisions of the GSA Constitution governing the election of GSA Board/Representative Council, and acknowledge I have access to the constitution online at www.gsa.unimelb.edu.au. *

Yes, I agree to adhere to the above statement.

Confirmation that the details on this Nomination Form are: *

True and correct

Signature *

Clear

Draw your signature here

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Online Nomination Form

Nominations

GSA Election Nomination Form 2023