Skip survey header

Regional Young Members' AGM 2021 | Nominations for Committees & Elected Positions

Nominating Branch / Individual Information

Please note that for all information on this digital form to be recorded, you must progress through all pages of the form and click 'submit' on the final page.

Branches may nominate members for election at the Regional Young Members' Forum AGM. Young members within the region may also self-nominate for a position. 
This question requires a valid email address.
3. Are you submitting nominations as: *This question is required.
This question requires a valid date format of DD/MM/YYYY.