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Board Elections 2016 Nomination Form

Nomination Form 2016

Election of two Board Director positions
SNPHN Ltd, operating as Sydney North Primary Health Network

There are two nominated positions available.

Nomination form due no later than 5pm, 10 October 2016

Name of nominating member:

Name of individual member being nominated:

Profession:

Nominees' experience in the relevant areas; meets at least one of the requirements set out in the Skills Matrix. To access the Skills Matrix, please CLICK HERE.

Tick the areas in the skills matrix that match your supporting statement below.
Strategic DirectionLeadershipClinical knowledge/experienceCorporate GovernanceCorporate ManagementCommunity and Stakeholder EngagementPersonal Attributes

Supporting Statement (no more than 200 words):