The Tammy Axelsen Lifetime Achievement Award Nomination Form

The Tammy Axelsen Lifetime Achievement Award Nomination

This award is for outstanding service by an individual to the Print Disability Sector, the nominee should have had some connection with Round Table. Please provide as much detail as possible.
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  • NOMINEE DETAILS (person you would like to nominate)
  • Including area code and, if outside Australia, country code.
  • Including area code and, if outside Australia, country code.
  • Including country code.
  • Please write at least 100 words. If you require more space please attach files below.
  • Up to 4 files (maximum 200MB per files) may be added if you wish to supply additional information to support your nomination. File types accepted are: .pdf, .doc, .docx, .txt
    Drop files here or
    Accepted file types: pdf, doc, docx, txt, docx.

  • NOMINATOR (your details)
  • Including area code and, if outside Australia, country code.
  • Including area code and, if outside Australia, country code.
  • Including country code.

  • REFEREE (Optional)

    This information will help the selection committee if your nominee is shortlisted. This person may be contacted for further information about the nominee.
  • Including country code.
  • Including area code and, if outside Australia, country code.
  • Including area code and, if outside Australia, country code.

  • APPLICATION SUBMISSION