Minister's Student Achiever Awards Nomination

Minister’s Student Achiever Awards Nomination

13 June 2019

What you need to know before completing this form:

Deadline for nominations: Friday 5 February 2021
The awards will be presented in March 2021 with a format to be advised
Please read the Minister’s Student Achiever Awards terms and conditions before making a nomination.
This online form requires an electronic signature from both the student and the referee / person nominating (i.e. Head of Tourism Faculty) before submission. You can sign using your mouse on a desktop or touchscreen on a mobile device.
If you are unable to obtain the student’s signature at the time of submitting this form, please forward the confirmation email you will receive on completion to the student. The student will need to read the terms and conditions, sign this document and return it via email to rochelle.stubbing@dnsw.com.au
Please direct any queries to: Rochelle Stubbing, Destination NSW rochelle.stubbing@dnsw.com.au

Details of Student Achiever Nominee

Name *

Address *

Address line 2

State

Postcode *

Country

Email *

Phone *

Institute / College *

Institute / College Address *

Address line 2

State

Postcode *

Country

Name of course / programme *

Qualification *

Certificate

Diploma

Degree

Reason for nominating the student *

(e.g. Academic record / personal characteristics)

Please read eligibility and selection criteria information in the terms and conditions before answering this question.

Biography of student nominee (100 word limit) *

Details of Referee (Head of Tourism Faculty / Unit)

Name *

Position *

Phone *

Email *

Terms and Conditions *

I (the Head of Tourism Faculty) acknowledge I have read the terms and conditions of the Awards.

Signature of Head of Tourism Faculty

Reset Signature

Terms and Conditions

I (the Student) acknowledge I have read the terms and conditions of the Awards

Signature of Student Nominee (or parent/guardian if the Student Nominee is under the age of 18 years)

If you are unable to obtain the student's signature at the time of submitting this form, please forward the confirmation email you will receive on completion, to the student. The student will need to sign this document and return it via email to rochelle.stubbing@dnsw.com.au

Reset Signature