Nomination for

Details of the person or group being nominated

Please include detailed information and address the specific award nomination criteria including:
  • Any volunteer works.
  • Community activities.
  • Membership of community groups, service clubs, sporting organisations.
Maximum 5 files.
5 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, jpeg.

Nominator contact details

Sign above

Referee / Letter of Support (optional)

Referees or Letters of Support

Referee 1

Referee 2

Maximum 2 files.
5 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.
Nominations could include an optional letter of support or referee from different perspectives of the applicant’s achievements. Referees may be contacted by the selection committee as part of the decision-making process.