Nomination form

Thank you for taking the time to submit a nomination for the First Nations Success Awards at Charles Sturt.

Nominations close on Friday, 27 September 2024.

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Required fields are marked with an asterisk *

Nomination category

Choose a category *

Declaration *

I declare that the nominee meets this category criteria. Described in more detail on the Award categories page.

Nominee details

First Name *

Last Name *

Relationship to Charles Sturt University

Email * This will not send an email notification of this submission

Preferred telephone number

Are you nominating yourself?

Your details

First Name *

Last Name *

Email *

Preferred telephone number

Is the person or group you are nominating aware of the nomination?

Supporting documentation

File #1: Relevant criteria template [DOCX] * Please make sure you have filled out the correct criteria template for your chosen award. 2 MB upload limit.

File #2 2 MB upload limit

File #3 2 MB upload limit

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Nomination form

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