Inspiring Leadership Award nomination form

Please complete this form to nominate someone who is making it happen for the 2021 Inspiring Leadership Award. This award celebrates an inspiring leader who:

  • has played a pivotal leadership role in delivering a project, partnership, or collaborative initiative within the last 5 to 10 years 
  • through this project or initiative has delivered meaningful outcomes and positive change in the health industry  
  • has demonstrated valuable leadership skills such as collaboration, communication, team building, transformation, innovation, change management, dedication and passion for innovation that has impact 

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2021 Inspiring Leadership Award nomination form

Nominator's details

Must be from a BioMelbourne Network member organisation

Nominee's details

Must be from a BioMelbourne Network member organisation
Mobile number preferred

Nomination details

Please describe how the nominee meets each of the following criteria. Responses should be no longer than 250 words. Where possible, provide examples to support your statements.
Max. 250 words
Max. 250 words
Maximum upload size: 516MB
Maximum upload size: 516MB
Sending

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