Outstanding Male Influencer - Diversity and Inclusion
/ Nomination Form

FULL SUBMISSIONS REQUIRED BY FEBRUARY 2020.
A representative must be in attendance on the evening to collect the award. Winners will be announced at the presentation evening on 1 April 2020.

NOMINATOR / CONTACT

Name

First Name

Last Name

Email Address

Subject

Organistion

Address old Organisation

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

NOMINEE / APPLICANT

Name

First Name

Last Name

Position

Name of Company/University/School

Phone Number

Submission requirements

1. Tell us about your career to date?

Answer in 250 words or fewer

2. Explain your experience and demonstrated achievements with diversity and inclusion in your organisation?

Answer in 250 words or fewer

3. Describe your management style which enables you to advocate for gender equality, LGBTQ and cultural inclusion as well as aiming to eliminate bystander behaviour.

Answer in 250 words or fewer

4. Do you participate in diversity committees or support the activities of A/AA, Women in A/AA or NextGenNetwork? Tell us how?

Answer in 250 words or fewer

5. What stands out about your leadership qualities relating to inclusion of minorities?

Answer in 250 words or fewer

Outstanding Male Influencer - Diversity and Inclusion / Nomination Form

Outstanding Male Influencer - Diversity and Inclusion
/ Nomination Form