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2019 ACT Women's Awards

This is a preview of the 2019 ACT Women's Awards Nomination Form form. When you’re ready to apply, click Fill Out Now to begin.

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2019 ACT Women's Awards Nomination Form

* indicates a required field.

Award Category

The category you are nominating the nominee for (self nominations will not be considered)

Please select from the following categories * Required
Response required.Response required.

Nominee

The person you are nominating

Must be an Australian phone number. 
Must be an Australian phone number. 
Nominee Address * Required
Must be a date. 
Is the nominee Aboriginal and/or Torres Strait Islander person?

This section is not applicable because of your response to question: "Is the nominee Aboriginal and/or Torres Strait Islander person?" on page 1

Is the nominee from a culturally and linguistically diverse background?

This section is not applicable because of your response to question: "Is the nominee from a culturally and linguistically diverse background?" on page 1

Linking in with other awards

Please note:

Winners of each category of the 2019 ACT Women’s Awards, will be automatically included in the 2020 ACT Women’s Honour Roll.  

Recipients of each category of 2019 ACT Women’s Awards will also be entered for consideration for the Australian of the Year Awards, unless the nominee requests otherwise.

Nominee details will be forwarded for consideration for other relevant ACT Government Awards unless the nominator or nominee requests otherwise.

 

Selection Criteria

Please tell us about your nominee

Supporting Documentation

    (Includes references, resumes, articles)

    Nominator - your details

    Must be an Australian phone number. 
    Must be an Australian phone number. 

    Referee- contact details for someone who can provide further information

    Must be an Australian phone number. 
    Must be an Australian phone number. 

    Need help or more information?

    If you need assistance or have any enquiries, please contact:

    ACT Office for Women 

    Telephone: (02) 6207 2552 or 6205 0515

    E-mail: women@act.gov.au