2024 Emerging Leadership Award nomination form

Nominee's details

Nominee's title Nominee's title

Nominee's first name *

Nominee's last name *

Nominee's position title *

Nominee's organisation *

Nominee's email address *

Nominee's contact phone number *

Mobile number preferred

Nominator's details

Nominator's title Nominator's title

Nominator's first name *

Nominator's last name *

Nominator's organisation *

Nominator's email *

Nominator's contact phone number *

Mobile number preferred

Nomination details

Please describe how the nominee meets each of the following criteria. Responses to each question should be no longer than 200 words. Where possible, provide examples to support your statements.

Criteria 1 - IMPACT

C1.Q1 - What is the career move, challenge or change that this person has taken on within the last 2-4 years? *

Max. 200 words

C1.Q2 - What is this leader’s potential for industry impact? *

Max. 200 words

Criteria 2 - LEADERSHIP

C2.Q1 - What is it about this person that demonstrates their leadership potential? *

Max. 200 words

C2.Q2 - How will their leadership qualities position them for future impact? *

Max. 200 words

ADDITIONAL INFORMATION

Nominee's 2-page CV *

Maximum file size: 516MB

Include: contact details, professional/career overview, relevant job experience, career highlights, leadership highlights, technical and/or soft skills.

Testimonials (highly recommended)

Maximum file size: 516MB

We highly recommend submitting a minimum of 2 professional testimonials from both internal and external colleagues.

Is there anything further that you would like to add to support your nomination? (optional)

Max. 200 words - If applicable, discuss and upload: industry awards/public recognition, professional qualifications, journal (or other) publications or media releases.

You can upload any additional supporting documentation here (optional)

Maximum file size: 516MB