New Zealand Gazette – 2012 – No. 131

Page 3755

✨ Parent Representative Election Nomination Form



NEW ZEALAND GAZETTE, No. 131

1 NOVEMBER 2012

FORM 2

Parent Representative ELECTION

NOMINATION FORM

when opting into mid-term elections in a triennial election year

I am standing for election for 18 months / 3 years (circle one)

School Name
__ (please print)

School Profile Number

Name of person being nominated

Contact details of person being nominated

I declare that I have read and understand the ineligibility criteria for school trustees, under section 103 of the Education Act 1989 (ineligibility criteria are on the reverse of this page), and declare that I am eligible to become a trustee. I hereby consent to the above nomination and declare that all other information that I have listed on this form is true and correct.

Dated / / 20__

(Signature of Candidate)

Name, address and phone number of person making nomination

Signature of person making nomination

NOTE: Unless the person making the nomination is on the roll for the election, the nomination is invalid.

This nomination paper should be posted or delivered to the Returning Officer at __

so that it is received no later than noon on ___.

For statistical purposes only, persons being nominated are requested to complete the following

  1. Gender: Female / Male (circle one)

  2. Previous experience of candidates, are you: (tick one)

  • [ ] a current member standing for re-election
  • [ ] a current co-opted or appointed member of any school board of trustees standing for election
  • [ ] a person who has not previously been a member of any school board
  • [ ] not a current member but have previously been a member of a school board
  1. Ethnicity:
    Which ethnic group or groups do you identify with? (tick up to two boxes)
  • [ ] NZ Māori
  • [ ] Other
  • [ ] Pasifika
  • [ ] European
  • [ ] Asian
  • [ ] NZ European/Pākehā


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Online Sources for this page:

Gazette.govt.nz — PDF NZ Gazette 2012, No 131




✨ LLM interpretation of page content

🎓 Parent Representative Election Nomination Form

🎓 Education, Culture & Science
Parent Representative, Election, Nomination Form, School Trustees, Education Act 1989