Distinguished Alumni Awards Nomination Form

University of Adelaide 2022 Distinguished Alumni Awards.

Nominations for the 2022 Distinguished Alumni Awards open on 17th May 2022. For further information please contact the Alumni Relations team at alumni@adelaide.edu.au, +61 8 8313 5800.

Self-nominations will not be accepted.

Please identify for which award you are nominating

Distinguished Alumni Award
Recognises the outstanding and sustained contributions made by University of Adelaide alumni in their local communities and beyond.

Tirkapena Indigenous Award
Recognises both Aboriginal and Torres Strait Islander and non-Aboriginal alumni whose significant achievements have impacted their profession and/or community.

James McWha Rising Star Award
Recognises young alumni (35 years or younger at the nomination deadline) who are making a significant contribution as emerging leaders within their profession and/or within their community.

Nominee details

The alumna/alumnus you wish to nominate.

Nominee first name

Nominee surname

Nominee mailing address

Nominee email address

Nominee contact phone number

Name of nominee organisation

Nominee current position/title

Nominee LinkedIn

Nominee University of Adelaide qualification(s)

Reason for nominating

Why are you nominating this person?

Please give examples of nominee’s excellence in their field

Describe the nominee’s contribution to their local, national, and global communities

Tell us how your nominee inspires others

Upload up to three supporting documents with your submission (e.g. curriculum vitae, newspaper clippings etc.)
Please note that the allowed upload size is a combined total of 20mb

Re-order	File upload	Weight	Operations
	File upload One file only. 20 MB limit. Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, html, pdf, doc, docx, ppt, pptx, xls, xlsx, zip.	Item weight

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Please note the University of Adelaide will contact you, the nominator, to request more information and referees should the nominee be shortlisted.

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Distinguished Alumni Awards Nomination Form

Nominee details

Nominator details

Reason for nominating