Area Representative application form

Area Representative Applicarion

Name of Nominee (your name)(Required)

First Last

Staff number of nominee(Required)

Email (Personal)(Required)

Phone (Mobile)(Required)

Email (Work)(Required)

Your Work Location and Business Area(Required)

Head Shot photo(Required)

Accepted file types: jpg, jpeg, png, gif.

We need a photo to help us identify you to your members in our publications.

Nominations are from your Union Area

Name - Proposer(Required)

First Last

Staff number of proposer(Required)

Email(Required)

Proposers Work Location and Business Area(Required)

Seconder Name(Required)

First Last

E Number

Email(Required)

Seconder Work Location and Business Area(Required)

Code of Conduct

I confirm I have read the code of conduct and will abide by it

I have read the union code of conduct for representatives and agree that I will abide by it.

Representative Training

I agree to complete the training

I agree to undertake the basic representative training in the first 3 months of office and understand this is a requirement to remain in office.

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