LGEMA Membership Form .pdf

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NOMINATION FORM FOR LGEMA MEMBERSHIP
Name [Print] ……………………………………………………………………………………………………………………………………
Mayor, President or Councillor at [ City/Town/Shire name] ……………………………………………………………
[insert dates] ………………………………………………………………………………………………..………………………………….
Former Mayor, President or Councillor at ( City/Town/Shire name] ………………………………………………
[insert dates]…………………………………………………………………………………………………….……………………………..
I have read and will uphold the Rules of the Association, noting:
A.
B.
C.

The name of the Association is: LOCAL GOVERNMENT ELECTED MEMBERS’ ASSOCIATION (WA) Inc.
THE PURPOSE of the Association is to FOSTER BEST PRACTICE GOVERNANCE and ADMINISTRATION IN WESTERN AUSTRALIAN LOCAL
GOVERNMENTS.
The OBJECTS of the Association are: PROVIDE SUPPORT FOR LOCAL GOVERNMENT ELECTED MEMBERS DEDICATED TO SERVING THE
PUBLIC INTEREST THROUGH OPEN, ACCOUNTABLE, TRANSPARENT AND SUSTAINABLE LOCAL GOVERNMENT BY:
1. SUPPORTING COUNCILLORS WHO ARE MEMBERS OF THE ASSOCIATION
2. PUBLISHING INFORMATION ABOUT BEST PRACTICE LOCAL GOVERNMENT IN WESTERN AUSTRALIA
3. IDENTIFYING BEST PRACTICE MODELS, WHICH PROMOTE THE OBJECTS OF THE ASSOCIATION INCLUDING FOR LOCAL
GOVERNMENT PROCEDURES AND CONTRACTS, PLANNING SCHEME PROVISIONS, LOCAL LAWS, POLICIES AND NOTICES OF
MOTION
4. PROVIDING EDUCATION ABOUT BEST PRACTICE LOCAL GOVERNMENT.

Nominee Signature:
Member Endorsement:
Name [Print]:
Signature:
Membership Fee:
CONFIDENTIAL ONLY FOR LGEMA COMMITTEE (One contact detail must be entered on Association
Register, which can be inspected by members).
Please complete all details below AND tick ONE blue box, to show which contact detail is to be used
for the Association Register:
Postal Address [Print] (preferred for Association Register):
Residential Address [Print]:
Email address [Print] (least ideal for Association Register):

Mobile or phone number (will not be used for Association Register contact):
Qualifications and/or areas of expertise available to assist committee [List]:

DATE of NOMINATION:
Checked by :

Entered on LGEMA Register:

Local Government Elected Members’ Association (WA) Inc. Incorporated 7 August 2019 ABN 14455851094
| PO Box 284 Cottesloe WA 6911 | Phone 0427 508 582 |

lgema@iinet.net.au


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