Simply Open Awards - Judging Request Form 2022

Judge details

We need to capture some details please about you for judging.
First Name *
First Name
Last Name *
Last Name
Email *
example@hotmail.com
Telephone number *
In what capacity would you be representing as a Judge *
Enter your company, NGO, charity or social enterprise name
Enter your role title *
Do you identify as having a disability? *

Yes No I don't identify as having a disability, but experience exclusion or access barriers
Where will you be judging from? *
Dropdown to select what region you are applying from
Which category would you prefer to judge? *

Communication Employment and Advocacy Daily Living and Wellbeing Getting Out and About Education

Social Media and Judge Profile
We will be creating social media content for you as a judge to share with your social networks to spread the word about the awards. We shall also be creating a judging page on our website. It would be great to have a headshot photo and a brief bio about your background. Of course there is requirement for you to submit a photo or a bio.
LinkedIn Profile
Please provide your LinkedIn profile url
Twitter Username/Handle
Please provide your Twitter handle
Facebook Profile/Page
Please provide your Facebook profile url
Instagram Profile/Page
Please provide your Instagram profile url
Are you willing to share a photo and bio?

Yes I am willing to share a photo and bio No I am not willing to share a photo and bio
Please upload a head shot photo of you here:

We accept the following photo formats - .jpg, .jpeg, .png
Cancel of
Please provide us a very brief bio about you, no more than 50-100 words
Please tell us in one sentence what is means to you to be judging our awards?

Judge details