Proposer Comments Form

Proposer Form
Fill the form below with the details of your candidate
Member Name:*
PrefixFirst NameLast Name
Member Number:*
Member Email Address:*
example@example.com
Years Known:
Candidate Information
Candidate Name:*
PrefixFirst NameLast Name
Years Known*
Whole number
Candidate Email Address:*
My depth of knowledge of, and nature of association with the candidate is as follows:
Tell the Club how you know the candidate in ways such as: how you met, how you socially interact and how often, what personal qualities you admire, mutual interests and activities, social & community interactions, previous interactions with the Club.
Please focus on your social knowledge of the candidate and not on your business relationships.
Social Knowledge:*
minimum 50 words0/0
Do you need help writing comments about your candidate?
Click HERE to view some suggestions and guidance.
Business/Professional Knowledge:
My personal belief as to why the candidate will make a desirable member of the Club:
Other information I believe significant in respect of this nomination:
Support Team
List the members who have agreed to act in support of this nomination:
Seconder
If not known as yet, insert 'To Be Advised' over the two Member Name text boxes for successful form submission
Member Name:
First NameLast Name
I have personally contacted the Seconder and he has agreed to support this nomination:
YESNO
Referee 1
If not known as yet, insert 'To Be Advised' over the two Member Name text boxes for successful form submission
Member Name:
First NameLast Name
I have personally contacted this Referee and he has agreed to support this nomination:
YESNO
Referee 2
If not known as yet, insert 'To Be Advised' over the two Member Name text boxes for successful form submission
Member Name:
First NameLast Name
I have personally contacted this Referee and he has agreed to support this nomination:
YESNO
I have read the 'Six-by-Six' new member protocol (see below) and understand my responsibilites as a Proposer and to the new member:
Please Indicate:*
Yes, I have read the Six-By-Six New Member ProtocolNo, I have not read it
Member Signature:
Clear
Date*
DayMonthYear
Date of Form Submission
Should be Empty:

Proposer Form

My depth of knowledge of, and nature of association with the candidate is as follows:

Seconder

Referee 1

Referee 2