Life Membership

The Alcohol, Tobacco and other Drugs Council life membership is awarded to individuals acknowledged by the Council to have rendered outstanding service to the Council and/or the ATOD sector over a long period of time.

Criteria

Life members are individuals acknowledged by Council to have rendered outstanding service to Council and/or the ATOD sector over a long period of time. Life membership shall be granted only by a General Meeting on the express recommendation of the Board.

How to apply

If your nominee meets the criteria, please complete and submit the form below. You can also download an application form to submit by email or post.

Life Membership Nomination

"*" indicates required fields

1Nominee

2Nomination

3Nominator

4Referees

Nominee

Who are you nominating for ATDC Life Membership?

Name*

First Last

Position title and organisation*

Preferred contact address*

Post

Email*

Enter Email Confirm Email

Postal address*

Street Address Address Line 2 City State / Territory Post Code

Phone*

Mobile*

Referee 1

Name*

First Last

Position title and organisation*

Preferred contact address*

Post

Email*

Enter Email Confirm Email

Postal Address*

Street Address Address Line 2 City State / Territory Post Code

Phone*

Mobile*

Referee 2

Name*

First Last

Position title and organisation*

Preferred contact address*

Post

Email*

Enter Email Confirm Email

Postal Address*

Street Address Address Line 2 City State / Territory Post Code

Phone*

Mobile*

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Life Membership

Criteria

How to apply

Life Membership Nomination

Nominee

Details of nomination

Nominator

Referee 1

Referee 2

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