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NOMINATOR DETAILS

NOMINEE DETAILS

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The next section is your opportunity to explain why you feel the nominated person is worthy of the selected award. You might like to include details of when they have inspired others, made a difference, or gone the extra mile in their role.

ACHIEVEMENTS

IMPACT

QUALIFICATIONS AND DEVELOPMENT

DEDICATION

ADDITIONAL SUPPORTING INFORMATION

DECLARATION

I confirm that the details given in this nomination are accurate.

If nominee is under 18 parental consent is required