AusIMM Southern Queensland Branch Committee Nomination Form
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1.
Full Name:
(Required.)
*
2.
AusIMM Member Credentials:
(Required.)
SAusIMM
AAusIMM
MAusIMM
MAusIMM(CP)
FAusIMM
FAusIMM(CP)
HonFAusIMM
HonFAusIMM(CP)
*
3.
Email address:
(Required.)
*
4.
Where are you located?
(Please list your suburb)
(Required.)
*
5.
I am interested in applying for the following position/s in the Southern Queensland Branch committee
(Required.)
Chair
Vice Chair
Secretary
Treasurer
Sponsorship Coordinator
Technical Committee Lead
Social Media Coordinator
JK Lecture Lead
Awards & Recognition Coordinator (EEF, JK Fund, etc)
General Committee Member
6.
Were you recommended to join the AusIMM Southern Queensland Branch?
If so, please list who by:
