CHA Board of Directors Nomination Form

Please complete the web-form below OR download and return the PDF by COB Wednesday 11 October.

CHA Board of Directors Director Nomination Form 2023

As an Ordinary member of CHA, the following health service wishes to make a nomination for the CHA Board of Directors:

I wish to nominate the following person:

Being nominated for:
(Please indicate the relevant category)
Please provide up to 200 words outlining the nominee’s professional and career experience relevant to children’s health, and how they could contribute to the leadership of CHA. These words will be published to members to inform their voting decision at the AGM.
Nominee consent:
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