2025 CAIA Nominee Entry Form

2025 NOMINEE ENTRY FORM

Individuals and Chemistry Australia member organisations may enter on their own behalf or be nominated by their industry peers. Each nomination must be accompanied by a typed summary (up to 500 words) outlining why the nomination is being put forward. Alteratively, members are welcome to submit a brief video entry (2 min limit) in place of a written nomination.

Supporting material with a focus on quality over quantity is welcomed. This may be in the form of a brief supporting video, publication, chart or photo. These may be submitted with the summary.

Closing date for entries is COB Friday 21 March 2025.

Nominations are open to all Chemistry Australia members.

Entries in each category will be judged by independent panels appointed by Chemistry Australia. The panels will be drawn from Chemistry Australia, the Board and sponsors.

Use only one entry form per category.

Only one nomination is permitted for each category.

The completed entry form must be signed by the person responsible for submitting the entry and countersigned by a senior executive.

Nominations and supporting documentation will remain the property of Chemistry Australia.

The judge’s decision will be final. No correspondence will be entered into by any member of the judging panel.

All finalists will be announced at the Awards Ceremony on Thursaday 8 May 2025.

Finalists in each category will be notified in writing and are expected to make every effort to be present at the Awards Ceremony.

Complete this form for each nomination you would like to make.

For any nomination enquiries, please contact Samantha Read on 0400 446 098 or email sread@chemistryaustralia.org.au

NOMINATOR'S DETAILS

First Name *

Last Name *

Your Organisation *

Your Job Title *

Your Email *

Your Mobile Number *

AWARD CATEGORY

USE ONE ENTRY FORM PER CATEGORY (Please select the appropriate category you are nominating for). *

NOMINEE INFORMATION

Please provide details below of the individual or organisation that you are nominating.

Nominees Full Name of Individual or Organisation Name *

If you are nominating an Individual - please state below their Organisation Name* Note: This section does not need to be completed if you are nominating an organisation.

Nominees Mobile Number *

Nominees Email *

If you are nominating a project or an organisation, please state project title and 50-word description of project** Note: This section does not need to be completed if you are nominating an individual.

Reason(s) for nomination (up to 500 words) ** Please also ensure any supporting videos, documents, or attachments are submitted with this form. If you run out of space above, you can email your full reason(s) for nomination to Chris@mse-group.com.au.

File upload or 'Reason(s) for Nomination' or supporting documentation

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Please upload any supporting documentation in this section.

Your Signature *

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The completed entry form must be signed by the person responsible for submitting the entry.

Signature by a Senior Executive

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The completed entry form must be countersigned by a senior executive where a company is self-nominating for an award. Note: This section does not need to be completed if you are not self-nominating.