2021-2022 WDV Board Nomination Form

Your Details

Please read the ‘Nomination Guidelines’ before completing this form.
If you are nominating someone else, please speak to them first to make sure they are happy to be nominated.

1. Preferred pronoun: *This question is required.

Please enter an 'other' value for this selection.

2. First Name *This question is required.

3. Family Name *This question is required.

4. Best Contact Number *This question is required.

5. Email *This question is required. This question requires a valid email address.

6. Are you a Full WDV Member? *This question is required.