Pearcey National Nomination Form

Review award criteria.


First Name
Last Name
Email Address
Phone Number
Please disclose any material relationship to the nominee

Nominee Details

First Name
Last Name
E-mail AddressIf unknown, please enter
Phone NumberIf unknown, please enter 0.
Company or OrganisationPlease provide the company or organisation for which you are nominating this person wiuth regard to their achievements. This may or may not be their current, primary, or only organisation.
Position or Title at that Company or Organisation
Online profilePlease provide a URL for a LinkedIn or other online profile. If you don't know, please enter "Unknown" and use the next question to attach a CV or equivalent bio of the nominee
Upload a CV or personal bio of nominee(Please use a document or PDF file type)

Judging Criteria Responses

AwardWhich State Entrepreneur Award is being nominated for?
SummaryAn overview of why the candidate is outstanding and worthy of recognising their lifetime contribution to Australian ICT. Usually the nominator will give some background into how they know the candidate and give some special insights into their career and personality.
Contributions to the IndustryA measure of the way the candidate has contributed, influenced, led, and/or shaped an industry or field. The idea is that the candidate needs to be more than just successful, their success should also have a measurable/notable impact in the industry. Usually their achievements are recognised on the world stage in their chosen industry or niche area.
Contributions to the CommunityA measure of how the candidate has made wider contributions to the community, society or other notable endevours. This is more of a personal aspect to the candidate, e.g. how they are inspirational in their efforts.