Emily Callachor Perpetual Award 2024 Application Form Survey

Are you a USU member and an activist in your workplace or community?

The United Services Union is proud to offer the Emily Callachor Perpetual Award to one female member each year who works hard to make the world a better place every single day! Emily Callachor was such a person. Both in her role as a USU Organiser and in the broader community she worked hard to deliver improvements to the lives of many. Sadly Emily passed away in 2020 suddenly and at a young age.

The USU proudly offers this Award in her honour to help identify the next great USU activist to follow in Emily’s footsteps.

Nominations close Friday 25th October 2024.

Full Name:

Address:

Phone Number:

Email Address:

Are you a delegate?

Yes

Workplace:

Role:

Membership number:

This Award will be presented to an outstanding female member of the USU who embodies the traits shown by Emily Callachor. Please outline instances where you have provided assistance to fellow workers, shown a leadership role in your community or done something which you are proud of:

By submitting this application form you are agreeing to be assessed as a potential recipient of the Emily Callachor Perpetual Award. The successful applicant may be requested to be featured in future publications issued by the USU such as the USU digital magazine or on USU Social media channels. By signing this document you agree to the terms of the media waiver which can be found at http://bit.ly/media-waiver.

The successful applicant will also be required to provide details of their income to the USU so that remuneration can be arranged.