Nomination Form for ARCS Medtech and Pharmaceutical Sector Awards

Please complete the following form to nominate an individual for one of ARCS’ prestigious awards. You may nominate yourself or someone else who is deserving of recognition. All nominations are due by 21 October 2024.
Nominee Information

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* 1. Name of Nominee:

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* 2. Occupation/Role:

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* 3. Organisation/Employer:

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* 4. Nominee’s Contact Information:

Nominator Information (if different from nominee)

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* 5. Nominator Name:

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* 6. Nominator contact information:

Award requirements:

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* 7. Awards Category (select one):

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* 8. Describe why the nominee should receive this award:
(Please provide a detailed description of the nominee’s contributions, achievements, and why they are deserving of this award. Attach additional documentation as needed.) Maximum 300 words.

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* 9. Please upload any supporting documents that demonstrate the nominee’s qualifications, such as a CV, publications, letters of recommendation, or testimonials. (Optional)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 10. Confirmation:

Submission:

Submit the completed form via the ARCS website by 21 October 2024.

Award Presentation:

The award recipients will be honoured at the ARCS Inaugural Medtech and Pharmaceutical Professional Gala Dinner on 4 December 2024.

For questions regarding the nomination process, please contact arcs@arcs.com.au

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