WA International Tertiary Student of the Year Award Application Form

2025 WA International School Student of the Year - Nomination Form
Student's Details
Name*

First NameLast Name
Street Address*
Suburb*
Postcode*
Phone Number*
Email Address*
Gender*

MaleFemaleNon-binary
Preferred pronoun

He/himShe/herthey/them
Age*
Nationality*
Education Institution*
Course of Study*
Personal Statement

To be completed by the nominator
In 500 words or less provide a summary that addresses the below Selection Criteria:
- The student's contributions and achievements
- Benefits to other students and/or the community of the student’s activities
- All community and volunteer work undertaken
Personal Statement*

0/500
Nominator's Details

Nominator must be a staff member at the student’s education institution who has worked with the student when performing any of the roles mentioned in the application.
Nominator's Name

First NameLast Name
Nominator's Position*
Nominator's Institution*
Nominator's Phone Number*
Nominator's Email Address *
Attachments:

The following items must be uploaded to support this application: *Note - there have been some issues with uploading on jotforms. If not able to upload, please send separately via email to info@ciswa.com
Student Photo (Required)

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Academic Results - most recent (Required)

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Student Resume (Optional)

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Checklist

All boxes must be ticked for application to be accepted
The student currently holds a Student Visa, Schools sector
Application has been completed in full including all required attachments uploaded
I agree that CISWA has permission to use this application for promotional/marketing purposes
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2025 WA International School Student of the Year - Nomination Form

Student's Details

Personal Statement

Nominator's Details

Attachments:

Checklist