This award recognises the contributions of a chaplain who demonstrates, through their role, exceptional compassion, service and connection to their Western Australian regional community. Nominations will shine a light on evidence of how their commitment to these ideals have positively impacted their communities.

Nominations will close Friday, August 7 2026 at 10pm.

This form should take 20 - 30 minutes.

NOMINATION INSTRUCTIONS

Please review these questions before completing the online nomination form as this can take about 20-30 minutes to complete and will require references to be acquired and uploaded. 

NOMINATOR’S DETAILS

1. Nominator’s Name
2. Nominator’s Phone Number
3. Nominator’s Email
4. Nominator’s Mailing Address
5. Nominator’s Organisation & Workplace
6. Nominator’s Relationship to the Nominee

NOMINEE’S DETAILS (The person you are nominating for this award)

1. Nominee’s Name
2. Nominee’s Phone Number
3. Nominee’s Email
4. Nominee’s Mailing Address
5. Nominee’s Organisation & Workplace
6. Nominee’s Religious Affiliation – Denomination & Church

NOMINATION

1. Nominee’s biography and experience as a chaplain (In less than 200 words)
2. The mission and description of the organisation that appointed the chaplain (In less than 200 words)
3. Two brief letter of recommendation from a third-party endorsement (Accepted file types: pdf, doc, docx, jpg, jpeg, png. Max. file size: 20MB)
4. Explain how the nominee has demonstrated dedication to a commitment to their mission to meet people at their point of need, providing pastoral care, to support wellbeing and a brighter future for those experiencing hardship within their region (In less than 200 words)
5. Explain how the nominee has demonstrated dedication to compassion during the course of interactions and fulfilment of duties that exceeds expectations (In less than 200 words)
6. Explain how the nominee has demonstrated dedication to a sense of community that reflects genuine concern and respect for the wellbeing of those that live in it (In less than 200 words)
7. Explain how the nominee has demonstrated dedication to connection that draws together services and resources, wherever they may be, that enable the provision of support for those in need (In less than 200 words)

Once you have gathered all the necessary information, you can proceed to completing the online nomination form.

 

Page 1 of 4

*If you decide to SAVE your nomimation to be completed later, make sure you click on "Skip Create an Account" and you will be emailed a link where you can complete your nomination.

 

Page 2 of 4

*If you decide to SAVE your nomimation to be completed later, make sure you click on "Skip Create an Account" and you will be emailed a link where you can complete your nomination.

 

Page 3 of 4

*If you decide to SAVE your nomimation to be completed later, make sure you click on "Skip Create an Account" and you will be emailed a link where you can complete your nomination.

To nominate a chaplain for this Governor’s Chaplaincy Award, the nominator must:

1. Ensure that the candidate meets the criteria for The Governor’s Chaplaincy Award and:
   
   • Is a current chaplain appointed to a paid or voluntary position
   • Able to display evidence of a long-term commitment to the ministry of chaplaincy
     
     
2. Provide a profile of the chaplain, that establishes grounds for the nomination. Pertinent information would include but not necessarily be limited to the following:
   
   • The candidate's biography and work experience within their role as a chaplain
   • A description of the organisation and its mission, that appointed the chaplain
   • One brief letter of recommendation as third-party endorsements (required) 
     
     
3. Provide written responses to the award category criteria (in less than 200 words)

 

 

Page 4 of 4

*If you decide to SAVE your nomimation to be completed later, make sure you click on "Skip Create an Account" and you will be emailed a link where you can complete your nomination.