Nomination Form

Alumni Excellence Awards

Nomination Form

Nominations for the 2024 Alumni Excellence Awards are now open!

Before submitting your nomination please refer to the Alumni Excellence Awards Guidelines.

Privacy matters. Emmanuel College is committed to ensuring that your personal information and the personal information of the Nominee is protected when you submit this Nomination Form. You can read more about the collection, use and disclosure of this personal information provided to Emmanuel College in our Collection Notification Statement HERE.

If you have any questions please email our Alumni Engagement team alumni@emmanuel.uq.edu.au or call Principal/CEO Stephen Peake on +61 7 3871 9100.

* indicates required fields

Award Category*

Alumni Excellence Award

Outstanding Young Alumni Award

Nominator Details

Name*

First Last

Position

Organisation

Email*

Telephone*

Award Nominee’s Details

Name*

Title First Last

Post-nominals

Mailing address*

Email*

Nominee will be contacted if they are a successful candidate

Telephone*

Date of Birth*

Emmanuel College Residency Year/s*

Is the nominee aware of this nomination?*

Yes

The selection panel prefers confidentiality is maintained. Please refer to Conditions of Entry 14, 15, 16, 17.

Is the nominee of Australian Aboriginal or Torres Strait Islander decent?*

Nominee’s current career*

Position*

Organisation*

Submissions

Written statement*

Please include a 500-1000 word (no more than 2 pages) statement of why the nominee should be considered for the Emmanuel College Alumni Excellence Award or Outstanding Young Alumni Award. The statement should clearly address each of the selection/eligibility criteria outlined in the Alumni Excellence Awards Guidelines. It is recommended that nominators use the criteria as headings in their statement.

Nominee CV/Resume

Accepted file types: txt, doc, pdf, Max. file size: 5 MB.

If a CV or Resume is not available, please provide details of the nominee’s career history and significant achievements, no longer than 6 pages.

Nominee's LinkedIn Profile

As an alternative to uploading the nominee's CV or Resume, please provide a link to their LinkedIn profile.

Referees

Name of referee 1*

First Last

Email*

Telephone*

Relationship to the nominee*

Name of referee 2*

First Last

Email*

Telephone*

Relationship to the nominee*

Supporting materials

Supporting documentation such as awards, media clippings, online portfolios or websites that are owned or managed by the nominee can be included. A maximum of 3 attachments/links will be accepted.

Supporting Materials (Files)

Drop files here or

Accepted file types: txt, doc, pdf, zip, png, jpg, Max. file size: 5 MB, Max. files: 3.

Supporting Materials (URLs)

Please enter valid links (URLs) to supporting materials, one per line and a maximum of 3 links.

Declaration

I have read and agree with the Alumni Excellence Awards Guidelines*

I have read and agree with the Alumni Excellence Awards Guidelines.

I have read and accept the conditions outlined in the Collection Notification Statement*

I have read and accept the conditions outlined in the Collection Notification Statement.

I acknowledge the information I have provided is true and to the best of my knowledge*

I acknowledge the information I have provided is true and to the best of my knowledge.

I confirm that to the best of my knowledge the nominee has done nothing that would bring Emmanuel College into disrepute*

I confirm that to the best of my knowledge the nominee has done nothing that would bring Emmanuel College into disrepute.