Outstanding Alumnus Award Nomination Form

2019 Outstanding Alumnus Award

The 2019 Outstanding Alumnus Award will be presented at the inaugural Ceremony of Excellence, to be held on Friday 25 October.
Nominations can be made by any member of the public, including past and present staff, students and parents. Individuals may nominate himself/herself.

Nomination guidelines

All nominees aged 31 years of age and older at the time of nomination may be considered for the Outstanding Alumnus of the Year Award.
All nominees must have studied at Loreto College Coorparoo for a minimum of three years and/or have graduated from the College at the end of Year 12.
Demonstration of on-going, high level of achievement in their field and in their service to the community.

Nomination Details
1. Demonstration of sustained excellence in a particular field.*
Please provide a statement detailing the following (maximum 400 words)
2. Demonstration of service to the community at a local, national or international level (service to the community may be met through achievements in the nominee's field or through other activities and may be individual or as part of a wider organisation).*
Please provide a statement detailing the following (maximum 400 words)
Two written references (please include contact details for Referees)*
The following file types can be uploaded: jpg, gif, png, pdf, doc and docx
Drop files here or
Accepted file types: jpg, gif, png, pdf, doc, docx.
Supporting evidence e.g. media, link to electronic media, photos, videos etc. (optional)
The following file types can be uploaded: jpg, gif, png, pdf, doc and docx
Drop files here or
Accepted file types: jpg, gif, png, pdf, doc, docx.
Nominee Details
Name and contact details of the Loreto past pupil nominee.
Nominee Name*
Prefix First Last
Previous Name/s*
Last
Graduating Year (if applicable)*
Attendance Dates*
Nominee Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Nominee Mobile*
Nominee Email*
Current Position*
Post Nominals (if applicable)
Nominator Details
Name and contact details of the person nominating the Loreto past pupil.
Nominator Full Name*
Prefix First Last
Nominator Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Nominator Mobile*
Nominator Email*
Permission has been obtained from the nominee*
If you are nominating someone other than yourself for the award, please confirm that you have obtained their permission to be nominated.
- Yes
- No

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