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Alumni Awards Nomination Form

Thank you for taking the time to help us celebrate the incredible achievements of our alumni.

Please provide a supporting statement of no more than 500 words, outlining the achievements, impact and contribution of the nominee and the supporting documents such as supporting evidence such as CV/resume, awards, media clippings, electronic media footage etcSelf-nominations are permitted.

Nominations open Monday, 1 March 2021, 12noon.

If you have any trouble putting forward a nomination through the website, you can email it to CDU Alumni Relations Team.

 

Nominee details

Most recent CDU qualification if you received multiple qualifications
(Please provide URL links to LinkedIn, online profiles or websites that owned or managed by the nominee.)
Please provide a 500-word supporting statement outlining the achievements, impact and contributions of the nominee.
Please provide your supporting evidence such as CV/resume, awards, media clippings, electronic media footage etc.
Maximum 5 files.
50 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Nominator details

By submitting a nomination: 
  • I declare the information provided in this nomination form true and correct.
  • I understand the information provided in this nomination will be used by the Charles Darwin University (CDU) in selecting award finalists and consent is provided to the use of such information for that purpose.
  • I further consent to the use of such information for research, educational or any purposes if such does not divulge my identity or the identity of the nominee to any person other than CDU and their respective affiliates.
  • I have read and agreed to the Nomination Guidelines.