National Awards for Disability Leadership nomination form

Name of nominee *

Who are you nominating?

Nominee's pronouns *

They/them
She/her
He/Him

Is the nominee a: *

Person with disability / disabled person
Disabled People's Organisation
A working group / collective of disabled people

A DPO is an organisation that has more than 50% of its members, board and staff disabled people with a leadership team made up of disabled people. Note: non-disabled people and organisations are ineligible for these Awards.

Nominee's organisation (if relevant):

Nominee's email address: *

Repeat email address *

Finalists details will be shared with media.

Nominee's phone number: *

Please note: finalist's phone numbers will be shared with media.

I have permission to nominate this person / organisation *

Please note that finalists in each category will have their name and short bio made public on websites, through social media and promotional materials. YOU are responsible for making sure the person is okay with being nominated. Please check.

No
Yes

Support?

Does the nominee require communications support or an intermediary to assist them with media or in communicating with us? If so; provide name, contact email and phone number of the support person or intermediary.

Your name *

Name of the person filling in this form.

Your organisation (if relevant):

Your contact email: *

Your contact phone number:

Award category for this nomination *

You can only select one category per form, please use the whole form again if you wish to nominate the same person in another category as well.

The Arts - advancing the status of disabled people through artistic expression.
Change Making - achieving greater equality for disabled people by changing policy, programs, or legislation.
Innovation – achieving outcomes to the status of disabled people by working outside the box, developing new systems, technology or tools.
Social Impact – achieve visibility of disabled people by using mainstream or social media, or other digital interfaces.
Inclusion – illustrating the intersectional diversity of disabled people by designing processes, systems or programs.
Rights Activism – advancing the status of disabled people by using human rights mechanisms, including the Convention on the Rights of Persons with Disabilities.
The Lesley Hall Award for Lifetime Achievement – awarded to an individual who has shown commitment to the disability rights movement and worked over time to achieve significant outcomes for disabled people.

Short bio *

Please provide a short paragraph about the nominee, tell us why they should win this specific category. This is the information that will be shared with media and used on our website. Talk about their work, not their disability! (This field is character limited, keep it short.)

Why are you nominating this person or organisation? *

What has the nominee ACHIEVED in disability rights and/or for the disability community? Think about the award category. Your nomination must match the category. READ the categories page BEFORE making your nomination! Tell us how this nominee reflects the diversity of our community and how they work within, or address, intersectional factors. The information you include here is what the judges will use to make their decision. DO NOT assume that we will do further research or that we know the person. You must tell us here. Tell us why you are nominating this person. Remember, we are looking for outcomes to improving the status of disabled people. How has the nominee contributed to this? DO NOT share links, we will not do your research for you.

Nominee photo *

Please provide a media quality photo of the nominee (usually 1MB) for distribution. Your nominee cannot be a finalist without this photo. This is a mandatory field. If you do not upload a photo you cannot submit this form.

You are welcome to attach up to 2 letters of support for this nomination

The letters should be relevant to the award category from someone who knows the nominee's work well.

Drop files here or

2024 National Awards Nomination Form

Dates

#DisabilityAwards2024

Before you start please check the National Awards Categories.

Instructions

Eligibility

#DisabilityAwards2024

Nomination Form:

NationalAwardsNomination

Disability Leaders