Board Member Application Form 2024 - Paralympics New Zealand

2024 Board Member Application Form

"*" indicates required fields

Contact Information

Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City Post Code Country

2. References

Please provide the names and contact details of two persons from whom PNZ may obtain character and governance references from.

Reference 1:

Name*

Relationship*

Email*

Phone*

Reference 2:

Name*

Relationship*

Email*

Phone*

3. Experience Information

Please summarise your skills and experiences relevant to the position noting any relevant experience in governance and leadership.*

Please offer a short statement as to your motivation and what you offer Paralympics New Zealand as a Board Member.*

CV

Please attach a full CV of your Governance experience, skills, and expertise which you will bring to the Board of Paralympics New Zealand. Any senior executive experience or specialist knowledge would also be welcome.

File*

Drop files here or

Max. file size: 50 MB.

Agreement - Privacy Act 1993

I agree to you holding such information as I supply to you or authorise you to collect in respect of me or which otherwise comes into your possession and authorise the release of this information to Paralympics New Zealand members or any other persons or organisations that the Board of Paralympics New Zealand may think conducive to furthering the interests and objectives of Paralympics New Zealand.*

I agree

Name

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2024 Board Member Application Form

Contact Information

2. References

Reference 1:

Reference 2:

3. Experience Information

CV

Agreement - Privacy Act 1993

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