Nomination Form

University of Adelaide Distinguished Alumni Awards 2019

Nominations close Friday 1 March 2019 at 5.00 pm ACDT.

To make a nomination please complete the online form below.

Alternatively, you can download a copy of the form here and send your completed form via email to alumni@adelaide.edu.au or by mail to:

Alumni Relations
External Relations Branch
UNIVERSITY OF ADELAIDE
SA 5005

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    Nominee details
  • 2
    Selection Criteria
  • 3
    Referees
  • 4
    Preview
  • 5
    Complete

Self-nominations will not be accepted.

Nominee (the alumna/alumnus you wish to nominate)

Please identify the category (select one)

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

Recognises both Aboriginal and Torres Strait Islander and non-Aboriginal alumni whose significant achievements have positively impacted outcomes for Aboriginal and Torres Strait Islander communities. We strongly encourage nominations from our Indigenous alumni.

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.

Nominator (your details)

Relationship to the University

Nominations may be submitted online, via email to alumni@adelaide.edu.au, or mailed to:

Alumni Relations
External Relations Branch
UNIVERSITY OF ADELAIDE
SA 5005

More information

For more information about the Distinguished Alumni Awards, please contact External Relations on +61 8 8313 5800 or email alumni@adelaide.edu.au