• 2025 Nomination Form

    PTCWA Outstanding Professional Service Awards

  • Please note: As part of this application, you will be asked to provide a 100-250 word citation about your nominee. This citation will appear in the Awards Night booklet.

    We suggest that you have this citation prepared before proceeding with the application.

    Full details of the application process can be found on our website.

  • Your association

  • Financial membership of PTCWA is required for participation in these awards. A membership application form can be accessed here.

    We are happy to provisionally accept your nomination, however your association will need to become a financial member before an award can be issued.

  • If you are unsure as to whether your association is a financial member, please check with the Executive Officer.

    We are happy to provisionally accept your nomination, however your status as a financial member will need to be confirmed before an award can be issued.

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  • Your nominee

  • Nominee's period of service to association

    Precise dates are not necessary
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  • Nominated by:

  • Seconded by:

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  • Please note:

    • You will receive an automated confirmation when your nomination is received (please check your junk mail if it does not appear in your inbox).
    • If you have not received an acknowledgement within 2 hours of submitting your nomination, please contact our Executive Officer.
    • PTCWA is not able to accept responsibility for nominations not received according to the guidelines or by the due date.
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  • If you have your nominee's completed Power Point slide and/or 150-word summary in your possession, please feel free to email them to the Executive Officer at execofficer@ptcwa.wa.edu.au.

    Otherwise, we will request these items directly from your nominee.

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  • Should be Empty: