Australia Prizes Application Form

Details of Nominator

Details of Nominee

Please indicate the prize(s) for which you wish the nominee to be considered

Prize name

Please complete all fields in the form. Attachments must be under 2MB each. If they are larger, please contact us to send them via email. If you are submitting your nomination via regular mail, please use this address: CHASS, Building 37/Level 5, RMIT University City Campus, 411 Swanston Street, Melbourne VIC 3000 Tel: 03 9925 3935