TasCOSS Life Membership Nomination Form

1. Nominee
Please provide contact details of the individual you wish to nominate for TasCOSS Life Membership.
Full name*
Title Given Name(s) Surname
Position/job title
(if applicable)
Organisation
(if applicable)
Contact email*
Enter Email Confirm Email
Contact email*
Enter Email Confirm Email
2. 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.
Full name*
Title Given Name(s) Surname
Position/job title
(if applicable)
Organisation
(if applicable)
Contact email*
Enter Email Confirm Email
Contact phone/mobile number*
3. Questionnaire
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 Life Member by the Board shall be entitled to the same voting rights and privileges as a Designated Member, without the requirement to renew their Membership on an annual basis. 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 Board shall only confer Life Membership on Members of the Tasmanian Council of Social Service Inc who satisfy one (1) or more of the following criteria:
1. Have diligently and with distinction, served the Tasmanian Council of Social Service Inc as an employee¹ or as a volunteer; and/or
2. Have made a significant and noteworthy contribution to the Tasmanian Council of Social Service Inc by virtue of their tenure or achievements; and/or
3. Have been a past Board President; and/or
4. Have been a past Board Member with six-years of service.
Notes: ¹ Serving employees of the Tasmanian Council of Social Service Inc are ineligible for Life Membership.
Has the Nominee previously served as as the President and/or a Board Member of TasCOSS?*
- Yes
- No
How many terms did the Nominee serve on the TasCOSS Board?*
- One-term (two years)
- Two-terms (four years)
- Three-terms (six years)
Key reason(s) for nominating*
250 words (maximum)
Details of service to TasCOSS and/or contribution to the Tasmanian community service industry*
250 words (maximum)
4. Declaration & Privacy
Signature of Nominating Member*
Date*
Date Format: DD slash MM slash YYYY

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1. Nominee

2. Nominating Member

3. Questionnaire

4. Declaration & Privacy