The Lifetime Achievement Award 2018

This award is for individuals who have made a major impact on their organisation/community and have devoted their time and energy to achieving sustained positive change over the span of their working life. Their work will demonstrate measurable positive results and changes that have made a difference to individuals or the wider community.

Please note: By clicking next, you will be submitting your nomination for the Lifetime Achievement Award. Please make sure you complete this form in its entirety before proceeding.

Question Title

* 1. Name of the individual being nominated

Question Title

* 2. Website address(es) associated with the individual (can list more than one)

Question Title

* 3. Please fill in nominated individual's full contact details

Name: *

Organisation: *

Address 1: *

Address 2:

City/Town:

Postal Code: *

Email Address: *

Phone Number: *

Question Title

* 4. Please fill in your full contact details

Name:

Organisation:

Address 1:

Address 2:

City/Town:

Postal Code:

Email Address:

Phone Number:

Question Title

* 5.
What organisations/programmes/communities have you impacted during your working life?

And what positive change have you achieved?

Question Title

* 6. What did you do to make these changes happen?

Please include examples from the entire span of your working life and be as specific as possible. Please summarise the key milestones in this process.

Question Title

* 7. What positive change did you achieve?

Outline what happened as a result of your work and sustained long term impact it had.
Please include specific examples of results.

Please note: By clicking next, you will be submitting your nomination for The Lifetime Achievement Award. Please make sure you complete this form in its entirety before proceeding.

Question Title

* 1. Name of the individual being nominated

Question Title

* 2. Website address(es) associated with the individual (can list more than one)

Question Title

* 3. Please fill in nominated individual's full contact details

Question Title

* 4. Please fill in your full contact details

Question Title

* 5. What organisations/programmes/communities have you impacted during your working life? And what positive change have you achieved?

Question Title

* 6. What did you do to make these changes happen?Please include examples from the entire span of your working life and be as specific as possible. Please summarise the key milestones in this process.

Question Title

* 7. What positive change did you achieve? Outline what happened as a result of your work and sustained long term impact it had. Please include specific examples of results.

* 5.
What organisations/programmes/communities have you impacted during your working life?

And what positive change have you achieved?

* 6. What did you do to make these changes happen?

Please include examples from the entire span of your working life and be as specific as possible. Please summarise the key milestones in this process.

* 7. What positive change did you achieve?

Outline what happened as a result of your work and sustained long term impact it had.
Please include specific examples of results.