David Blyth Award Nomination Form

David Blyth Award Nomination Form 2025

The David Blyth award is a national award, given by Blind Citizens Australia, in recognition of the work of an individual to improve the quality of life of people who ordinarily live in Australia who are blind or vision impaired. Nominations should reflect the work of the person by outlining their achievements in detail and in chronological order, if possible. Separate nominations must be completed for each nominee.
Eligibility Criteria:

• Nominees for the David Blyth Award do not have to be blind or vision impaired.
• Nominees for the David Blyth Award do not have to be a Full, Junior or Associate member of Blind Citizens Australia.
• Nominators do not have to be people who are blind or vision impaired, nor are they required to be members of Blind Citizens Australia.
• Self and posthumous nominations will be considered.
• Only nomination forms that are completed in full will be considered.

Nominations close on Sunday, 30th March 2025.
Who are you nominating for the David Blyth Award?

First NameLast Name
Contact Number
Please enter a valid phone number.
Email
example@example.com
Is the nomination related to the person’s employment of professional involvements? If yes, please provide relevant details of employment positions held and professional background. Answers may be up to 500 words in length.
Is this nomination related to the person’s voluntary involvements? If yes, please provide details of voluntary positions held, including approximate dates and details of the organisations concerned.
Please provide details of particular projects or initiatives undertaken that relate to this nomination, including the objectives of the initiative; the result achieved; and the part played by the nominee.
Describe, in your own words, how the work of the nominee has improved the quality of the lives of people who are blind or vision impaired.
Is there any further information you would like to provide, that has not already been included?
Who is making the nomination?

First NameLast Name
Contact Number
Please enter a valid phone number.
Email
example@example.com
Is the nomination on behalf of a branch, committee, or organisation or other group? If yes, please indicate the name of that group.
Is the group aware you are making this nomination?

YesNo
Is the nominee aware of this nomination?

YesNo
Should be Empty:

David Blyth Award Nomination Form 2025