The annual Young Achievers Award is administered by the Vocational Service Committee of the Club and recognizes up to three persons in the age group 18 – 26 who have achieved outstanding success in their education or training and who have also made a significant contribution in the form of service to the community.
If you, or someone that you know, appears to fulfill the required criteria, and would like the Club to consider you/them for this award, please complete the Electronic Expression of Interest Form below.
Kindly note that this form must be completed all at the one time as it cannot be saved. If it is closed during completion, all information added to that time will be lost and have to be re-entered. Before commencing the addition of your data, please scroll down through the form to familiarise yourself with the type and amount of information required.
Please note that the submission of this form incurs no liability, or obligation, to any party, on the part of Rotary Club of Melbourne Inc, in relation to the consideration of candidates and/or any decision(s) pertaining to this Award.
Full Name Of PERSON BEING NOMINATED ("the Candidate"):
Is the Candidate aware that they are being nominated for this award?
Candidate's Mobile Phone Number:
Candidate's Phone Number:
Candidate's Email Address:
Candidate's Mailing Address
Name Of PERSON NOMINATING the Candidate:
Nominator's Phone Number
Nominator's Mobile Phone Number
Nominator's Email Address:
Nominator's Mailing Address:
Please provide a brief description of the Candidate's academic/sporting/artistic/business achievements.
Please provide a brief description of the Candidate's community service.
Please attach Candidate's photo (head & shoulders):
Please attach here the Candidate's CV including age and detailed reference to academic/vocational achievements plus community service:
Name(s) and contact details of referees:
Please attach here a Candidate reference (if available):
Please attach here an additional Candidate reference (if available):
Please add any further comments in support of the nomination of this Candidate.
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