District Vocational Excellence Awards - Event and Nomination form.
Nominations are due by Friday 22 November 2019 and can be emailed to
warren.soos@amwu.org.au
VOCATIONAL EXCELLENCE NOMINATION FORM
You are invited to apply or nominate for the Vocational Excellence Award for Rotary District 9685 and 9675.
Conditions of Entry:
- All applications must use this form
- Nominees MUST live or work in District 9685 or 9675
- Nominees must be Australian Citizens or Permanent Residents
- Nominees must also be able to attend the Award Ceremony at the District Conference
APPLICATION FORM
Nominating Rotary Club: | ||||
Contact for further Information: | ||||
Phone: | Email: | |||
DETAILS OF THREE REFEREES
1 | Name | Phone | Email | |||
2 | Name | Phone | Email | |||
3 | Name | Phone | Email |
CANDIDATE DETAILS
Title | First Name | Surname | ||||||
Home Phone | Mobile | Business | ||||||
Email | ||||||||
Postal Address | ||||||||
Occupation | ||||||||
Position Held | ||||||||
Employer’s Name | ||||||||
Qualifications | ||||||||
Awards | ||||||||
Professional Memberships | ||||||||
Organisational Memberships | ||||||||
SUMMARY OF UNIQUE OR OUTSTANDING ACHIEVEMENTS
JUDGING CRITERIA
Please list the benefits that have occurred as a result of the nominee’s work and achievements.
Significant Vocational Milestones | |
Outstanding or Unique Aspects | |
Professional Attainments | |
Community Impact of Vocation | |
Benefits to their Vocation | |
Regional/State/National/ International Benefits | |
Referees Written Endorsements |
ATTACHMENTS – ADDITIONAL INFORMATION
Please list any attachments that will be provided to support the nominations
Additional Information |
Please save the file under the nominee’s name ie. Jonesnomination and email to: warren.soos@amwu.org.au