TasCOSS Life Membership Nomination Form | Tasmanian Council of Social Service Inc

1. TasCOSS Life Membership Nominee

Please provide contact details of the individual you wish to nominate for TasCOSS Life Membership.

1.1 Full Name*

First Name Surname

1.2 Organisation (if applicable)

1.3 Position/Job Title (if applicable)

1.4 Email Address*

Enter Email Confirm Email

1.5 Phone Number*

2. TasCOSS Life Membership Nominating Member

Please identify the TasCOSS Member responsible for the TasCOSS Life Membership nomination. NB: The nominating member must be a current member of TasCOSS.

2.1 Full Name*

First Name Surname

2.2 Organisation (if applicable)

2.3 Position/Job Title (if applicable)

2.4 Email Address*

Enter Email Confirm Email

2.5 Phone Number*

3. Questionnaire

TasCOSS Life Membership

Life Membership is awarded at the discretion of the TasCOSS Board for outstanding service and/or contribution to TasCOSS and the Tasmanian community service industry. A person who is made a TasCOSS Life Member by the TasCOSS Board shall be entitled to the same voting rights and privileges as a Designated Member, without the requirement to renew their TasCOSS Membership on an annual basis. TasCOSS Life Members will not be removed from the Register of Members unless they serve a notice of resignation, or are expelled in accordance with Clause 30 of the Constitution.

TasCOSS Life Membership Criteria: The TasCOSS Board shall only confer TasCOSS Life Membership on Members of the Tasmanian Council of Social Service Inc who satisfy one (1) or more of the following criteria:

Have diligently and with distinction, served the Tasmanian Council of Social Service Inc as an employee¹ or as a volunteer; and/or
Have made a significant and noteworthy contribution to the Tasmanian Council of Social Service Inc by virtue of their tenure or achievements; and/or
Have been a past TasCOSS Board President; and/or
Have been a past TasCOSS Board Member with six years of service.

Notes: ¹ Serving employees of the Tasmanian Council of Social Service Inc are ineligible for TasCOSS Life Membership.

3.1 Has the nominee previously served as as the President and/or a Board Member of TasCOSS?*

Yes
No

3.1.1 How many terms did the nominee serve on the TasCOSS Board?*

One term (two years)
Two terms (four years)
Three terms (six years)

3.3 Please provide details of the key reason(s) for making the nomination for TasCOSS Life Membership.*

[max. 250 words]

3.4 Please provide details of the nominees service to TasCOSS and/or contribution to the Tasmanian community service industry.*

[max. 250 words]

4. Declaration & Privacy

Declaration

I confirm that my nomination for TasCOSS Life Membership is true and accurate to the best of my knowledge.

*

I agree to the terms of the declaration.

Privacy Policy

TasCOSS pledge to respect and uphold your rights to privacy protection under the Australian Privacy Principles (APPs) as established under the Privacy Act 1988 and amended by the Privacy Amendment (Enhancing Privacy Protection) Act 2012.
The information provided to TasCOSS will be used for the purposes of assessing eligibility for TasCOSS Life Membership.

*

I agree to the privacy policy.

Date*