NOMINATION FORM

Please fill out the form below to nominate an individual or an organisation. Please take the time to read the Rules of Entry. You may make multiple nominations.

Please be aware that where applicable to the specific award the nominees must be a member in good-standing of either the Civil Mediation Council, Family Mediation Council or the College of Mediators at the date of entry. Learn more about the Judging Criteria.

After completing this form, you will see a success message on the screen and receive a confirmation email to your inbox (please check the spam folder as well). If you do not see the success message or receive the confirmation email, your nomination has not been received. If this happens, please close this browser and open the page in a new window.

MAKE YOUR NOMINATIONS

Award Category*

Your Full Name*

Your Email Address*

Who would you like to nominate?* Who would you like to nominate?* Individual Organisation

Who would you like to nominate?* Who would you like to nominate?* Individual Organisation School (including your own school)

Which organisation is the nominee a member of?* Which organisation is the nominee a member of?* Civil Mediation Council College of Mediators Family Mediation Council None of the above I am not sure

Full Name of the Nominee*

Name of Organisation*

Contact Name for Organisation*

Postal Address Nominee

Postal Address Organisation

Email Address Nominee*

Email Address Organisation*

Phone Number Nominee

Phone Number Organisation

Please explain why you are nominating this individual or organisation in 250 words or less.*

Agreement* Agreement* I hereby agree to the Rules of Entry

Third party nominations* Third party nominations* I acknowledge that nominations must be submitted by a third party, with the exception of the Peer Mediation Scheme of the Year Award, for which schools may submit nominations on their own behalf, including via teachers or staff members.

Supporting Evidence* Supporting Evidence* I acknowledge that this is the first step of the nomination process. The nominee will be contacted by the NMA team in due course to provide supporting evidence. Nominations will only be considered complete once this evidence has been received.

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