Nomination for delegate to Cultural Institutions Advisory Group

Please indicate below the electorate you wish to nominate for.

Question Title

* 1. Please provide your name and contact details

Name

Workplace

Email address

Phone

Question Title

* 2. Please indicate the electorate that you are nominating for.

Electorate 1 - State Library (4 delegates)

Electorate 2 - Australian Museum (3 delegates)
Comprising William St, Rydalmere, and Alexandria

Electorate 3 - Art Gallery of NSW (3 delegates)

Electorate 4 - Powerhouse Museum (4 delegates)
Comprising Ultimo. Observatory and Castle Hill

Electorate 5 - Museums of History – (1 delegate)
Comprising The Mint

Electorate 6 - Museums of History (1 delegate)
Comprising State Records, and Kingswood

Electorate 7 - Other (1 delegate)
Comprising
Museums of History – Lyndhurst House, Dubbo, Elizabeth Bay House, Elizabeth Farm, Government House, Hyde Park Barracks, Justice and Police Museum, Queanbeyan, Rouse Hill, Savannah Place, Museum of Sydney, and Vaucluse House.
Sydney Opera House
MCA

Question Title

* 3. Name of Nominator.
This person must be a financial PSA member in the same electorate as you

Question Title

* 4. Name of Seconder.
This person must be financial PSA member in the same electorate as you

Question Title

* 5. Please provide a short summary of why you are nominating as a delegate. This is in the event there are more nominations than positions, and a ballot is required.

Nomination for delegate to Cultural Institutions Advisory Group

Please indicate below the electorate you wish to nominate for.

Question Title

* 1. Please provide your name and contact details

Question Title

* 2. Please indicate the electorate that you are nominating for.

Question Title

* 3. Name of Nominator. This person must be a financial PSA member in the same electorate as you

Question Title

* 4. Name of Seconder. This person must be financial PSA member in the same electorate as you

Question Title

* 5. Please provide a short summary of why you are nominating as a delegate. This is in the event there are more nominations than positions, and a ballot is required.

* 3. Name of Nominator.
This person must be a financial PSA member in the same electorate as you

* 4. Name of Seconder.
This person must be financial PSA member in the same electorate as you