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 read the guidelines ('Nominating is simple' and 'Guidelines for the CHASS Australia Prizes' here: https://www.chass.org.au/2019-australia-prizes/) before completing all fields in the form.

IMPORTANT - Compulsory additional information for each category:
* Distinctive Work: Summary sentence (50 words) that describes the work, and describe why the work is distinctive (200 words or less)
* Future Leader: Statement of Leadership (500 words or less), updated CV, proof of age
* Student: Title and summary (200 words or less), copy of valid student ID

Attachments (PDF or MS Word only) must be under 2MB each. Two attachments allowed. If you have more than two attachments or they are larger than 2MB each, please contact us at membership[at]chass[dot]org[dot]au 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