Nominate - Queensland residents

Nominate for the 2012 Awards program using the form below.

Category Please choose which category you are nominating for
Professional Manager of the Year \| more information Owner Manager of the Year \| more information Young Manager of the Year \| more information Rural/Regional Manager of the Year \| more information Not for Profit Manager of the Year \| more information
SECTION A: Nominee's Details
Name of nominee:*
Position:
Company name:*
Address for correspondence:
Industry type:
Phone (daytime):*
Phone (mobile):
Fax:
Email:
SECTION B: Nominator's Statement This statement is to be completed only by those nominating another person
Name of nominator:
Position:
Company name:
Address for correspondence:
Industry type:
Phone (daytime):
Phone (a/h):
Fax:
Email:
Does he/she know they are being nominated? Yes No - instead could AIM contact the nominee
SECTION C: Region Please select your closest Queensland regional centre
Brisbane Cairns Gladstone Gold Coast Mackay Rockhampton Sunshine Coast Toowoomba Townsville
How did you hear about the Management Excellence Awards?
*Indicates required fields. Personal Information will be collected in accordance with AIM Qld & NT's Privacy Statement.