Individual awards

Nomination form

Guidelines

Nomination form

Award category

Please indicate the award category for which this nomination is to be considered.

*required fields

Individual awards*

Section 1: Nomination information

Title*

Statement of support*

This field is required

Please provide a statement of support (no more than two pages) demonstrating the nominee’s achievements, referring to the selection criteria for the relevant category. Awards will be judged through consideration of the selection criteria. Supporting evidence can include photographs or publications demonstrating an activity or event.

Section 2: Nominator details

Nominator title*

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Section 3: Referee details

Please provide the details of two people who are familiar with the work of the nominee and who agree to support this nomination.

Referee 1

Referee 1 title*

Referee 2

Referee 2 title*

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Section 4: Declaration

Declaration by nominator:

  • I acknowledge that the referees are aware of the award nomination and have agreed to be contacted for further information regarding the nominee.
  • The nominee is aware of this nomination.
Declaration*

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Page reviewed 16 December 2021