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*

Title Given Name(s) Surname

1.2 Position/Job Title (if applicable)

1.3 Organisation (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*

Title Given Name(s) Surname

2.2 Position/Job Title (if applicable)

2.3 Organisation (if applicable)

2.4 Email Address*

Enter Email Confirm Email

2.5 Phone 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:

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 Board President; and/or
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.

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

Electronic Signature of Nominating Member*

Date*