STAR Awards Nomination Form Question Title * 1. Is this a self-nomination or an entry on behalf of another individual or team? Self-nomination Nomination on behalf of another Question Title * 2. Details of the Person making the nomination Name Job Title, UF or Volunteer Role Email Address Question Title * 3. Is this an individual or team entry? Individual Team Question Title * 4. Details of the Individual applicant/Key contact for the team Name Service Area/Department Job Title, UF or Volunteer Role Email address Names of other team members Question Title * 5. Award Category Improving and Innovating Customer Service Making a Difference Better Together Question Title * 6. If you have selected Improving and Innovating category please choose sub-category Proposed Innovation Innovation already implemented Using technology to improve lives of people with disabilities Question Title * 7. Nomination summary - please provide a brief summary giving your reasons for nominating the individual, team or project (max 75 words) Question Title * 8. Award Criteria. Please provide up to three examples or reasons how this application fits the award criteria (as specified in the guidance document). Ensure your examples gives detail and explains how criteria is met and the impact this has had. (Max 200 words per example) 1 2 3 Done