NOMINATION FORM

Please fill out the form below. You may nominate yourself, your organisation, another individual or another 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

Who would you like to nominate?*

Which organisation is the nominee a member of?*

Agreement

Evidence

6 + 12 =