Develop, support, promote leaders with disabilities

Nomination Form


Nominations open 17 September 2018 and close 12 November 2018.

Late nominations will not be accepted.


  • Complete all sections of the nomination form.
  • Ensure you have everything you need before you start, you cannot save this form.
  • Provide a 30 second video about the nominee’s work.
  • For nominations in the Arts Category please provide a 2 minute video.
  • You are welcome to include two letters of support
  • If you are nominating a person for more than one category, complete a separate nomination form for each category


These Awards recognise the work of Australians. To be nominated you must be Australian, working in Australia, or specifically advancing the status of disabled Australians.

Nomination Form:

Nominations have now closed for 2018.