Nomination Form

Outstanding Alumni Awards

NOTE: It is a requirement that you read the nomination guidelines before submitting a nomination and we strongly recommend reviewing past recipients to see examples of the level of achievement and impact previously awarded.

This form is not able to be saved and updated at a later date. The questions to the selection criteria are visible once you select the award category. Please review all questions and have your responses and attachments ready, such as resumes and other supporting information, before commencing the form. If the form is not submitting, check all mandatory fields have been completed.

Nominators will receive an email copy of this form and the attachments once submitted to confirm what was sent.

For any enquiries contact Anita Edmonds, Manager, Alumni Relations, Email: alumni@usc.edu.au or Tel: + 61 7 5459 4564.

Nomination form

I am nominating - required

Myself

Someone else

The nominee is aged 35 years or less on the due date of the nomination

Yes

Nominator first name - required

Nominator surname - required

Nominator email address - required

Additional nominator details

Nominator telephone - required

Nominator address - required

Nominator state - required

Nominator postcode - required

Country

Nominee details

First name - required

Surname - required

Email address - required

Telephone - required

Address - required

Suburb / City - required

State - required

Postcode - required

Country

Current career details

Position - required

Organisation - required

Location - required

Education

UniSC qualification/s held and year/s awarded - required

Other tertiary qualifications and year/s awarded

Additional qualifications

Award categories

Select the award you are nominating for and answer ALL questions relating to each award. You can nominate for more than one award category by completing each award category individually.

In the answers for each award category, consider how the achievements and their impact contribute to UniSC’s stated mission of enriching our regions, connecting with our communities and creating opportunities for all.

Also consider how the achievements and contributions align with UniSC’s values. How have the achievements fostered or supported any of the following:

• Advocate for equitable access to education and knowledge.

• Recognise and embrace diversity and inclusion.

• Champion environmental, sustainable principles and practices.

• Commit to fair and ethical behaviour.

• Respect our people, our communities, and their potential.

• Be accountable to ourselves and each other.

• Strive for excellence and innovation in all that we do.

Award category - required

Outstanding Alumnus of the Year

Alumnus of the Year, Regional Achievement

Alumnus of the Year, Rising Star

Outstanding Alumnus of the Year

Nominees are established leaders in their field of expertise.

Describe an achievement that shows how the nominee has demonstrated and sustained excellence in their field (professional, academic, research or community) - required

Describe an achievement that shows how the nominee has demonstrated leadership and innovation in their field. - required

Describe an example of the nominee's contribution to and recognition by their profession or community at a local, national or international level. - required

Alumnus of the Year, Regional Achievement

Nominees who show evidence of contribution within the UniSC footprint of Sunshine Coast, Gympie, Fraser Coast and Moreton Bay region, and/or another regional community.

Describe achievements that show how the nominee has demonstrated regional success in their field (professional, academic, research or community). - required

Describe an achievement that shows how the nominee has demonstrated leadership in their field or community. - required

Describe how the nominee has contributed to supporting the development of the regional community and/or economy. - required

Alumnus of the Year, Rising Star

Nominees are aged 35 years or less on the due date of the nomination.

Describe activities or achievements that show how the nominee has demonstrated success in their field (professional, academic, research or community). - required

Describe activities or achievements that show the nominee's commitment to career and/or personal development. - required

Describe an activity or achievement that demonstrates growth towards their long-term goals and/or has potential for greater future impact. - required

Further documentation

Files must be no larger than 10MB.

Resume - required

LinkedIn URL

Supporting documents

Letter of recommendation from key industry representative

I declare the information provided in this nomination form true and correct - required

Yes

I have read the Nomination Guidelines - required

Yes

Privacy statement

UniSC collects this personal information for the purposes of the Outstanding Alumni Awards program. It will be managed in accordance with the Information Privacy Act 2009 (Qld) and UniSC’s Information Management Framework – Governing Policy. Your personal information will not be disclosed to third parties without your consent, except where required or permitted by law. For more information refer to the Privacy policy

Nomination Form | UniSC | University of the Sunshine Coast, Queensland, Australia

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Nomination Form

Outstanding Alumni Awards

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Nomination Form | UniSC | University of the Sunshine Coast, Queensland, Australia

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Outstanding Alumni Awards

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