PALA Student Representative nomination form

The role of PALA Student Representative is one that is co-opted onto the PALA Committee by the PALA Committee. 
•	the applicant is required to complete this nomination form with a brief manifesto of their vision, planned activities and commitment to the role;
•	the form should be passed to a full member of PALA (i.e. not another student and preferably the applicant’s supervisor) to act as a referee and provide a short reference in support of the application
•	The completed nomination form should then be emailed to the PALA Chair (m.lambrou@kingston.ac.uk) and PALA Secretary (dfvirdis@unica.it) 	
	
PALA Student Representative
The PALA Student Representative is part of the PALA committee, representing all student members. The position is generally for the length of study until gaining the PhD. The Student Representative is expected to be a PALA student member and a student i.e. a postgraduate research student during their term. 

Duties include:
•	Oversee the student representative email account and student social media accounts
•	Regularly interact with student members to identify needs and interests and encourage involvement 
•	Organise a student ‘meet up’ at the conference each year (preferably on the first day) to create a student community 
•	Publicise PALA and recruit new members in postgraduate contexts
•	Liaise with the PALA chair and ambassadors to develop association initiatives to encourage student involvement 
•	Participate in bi-annual PALA committee discussions to present a written report and represent student interests and concerns in these discussions
	
1. Personal details of student applicant	
Title	Forename	Surname	
     	     	     	
	
Affiliation	
	
Address	
Address Line 1	     	
Address Line 2	     	
Address Line 3	     	
Address Line 4	     	
Postcode/Zip code	     	
Country	     	
Email address	     	
	
2. Application details
	
Are you a PALA Student Member? 	 Yes
 No	
	
3. Applicant’s statement	
Please provide a brief manifesto of your vision, planned activities and commitment to the role of PALA Student Representative (approx. 250 words).	

	
Signed (Name):	
Date:	
Please pass this form on to your supervisor/referee.	
	
4. Supervisor/ referee supporting statement	
	
Supervisor/ Referee details	
Name	     	
Position	     	
Institution/organisation	     	
Email address	     	
Telephone number	     	
Address Line 1	     	
Address Line 2	     	
Address Line 3	     	
Address Line 4	     	
Postcode/zipcode	     	
Country	     	
	
Relationship to applicant

Statement of support from supervisor/referee. Please provide a short statement in support of the applicant’s suitability and commitment to the role of PALA Student Representative (in approx. 200 words).

	
	
Signed (Name and title):
			
Date:	 		

Can the referee/ supervisor email this form to the PALA Chair (m.lambrou@kingston.ac.uk) and PALA Secretary (dfvirdis@unica.it)