Endorsement and Nomination Requests

This is an application form for those seeking an endorsement or nomination from Disability Labour to be a candidates in an election or standing for other positions in the Labour movement.

• Eligibility for endorsement; Fully paid membership of the Labour Party and member of Disability Labour.
• We will only endorse or nominate for up to the number of places available for each position.
• We can only nominate for positions where we are eligible to submit nominations.
• If you are not successful with an endorsement or nomination for a position, you can still seek nomination or endorsement for other positions.
• Endorsement or nominations cannot be transferred to another candidate or to another position..
• No endorsement will be issued within 14 days’ which is to allow due diligence.
• Disability Labour reserves the right to remove or suspend an endorsement or nomination.

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Name *

First

Last

Email *

Labour Party Membership Number *

Labour Party Membership Number

Name of your CLP and Branch *

How long have you been a member of disability Labour *— Select Choice —0 – 3 months3 – 6 monthsBetween 6 months and 1 yearbetween 1 year and 3 yearsOver 3 years

for? is member

What is the deadline for endorsement/nomination? *

What Role/Position/Seat are you standing for?

Please provide a statement of no more than 250 words. • Include what you have been profoundly promoting on behalf of the disability movement. *

Please submit any relevant documents.

Drag & Drop Files, Choose Files to Upload You can upload up to 3 files.

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