Distinguished Service Award Nomination

Name of person submitting this form
Your mobile phone number
Name of individual being nominated (the nominee)
Mobile phone number of nominee
Please provide a 300 word overview of why the nominee is worthy of a DSA
Please provide a two page description of why the nominee is worthy of the award and send to infoedanz@gmail.com
Please be aware that if the nominee is successful they will be advised well in advance of the ceremony. They will also be asked to submit, in time for the ceremony, a two minute video (no more) that highlights why the nominee is such a worthy recipient of the DSA, four high resolution jpg photos and a draft media statement that can be released in partnership with EDNZ.
Your checklist for success. Ensure you can tick off the following tasks before submitting this nomination.