Pearcey State Nomination Form

Review the award criteria.
We strongly recommend preparing submissions offline. There have been instances where the form has failed, resulting in the loss of submission data. If you encounter difficulties, please send your submissions directly to admin@pearcey.org.au.
Self nominations are not accepted.

Nominator
First Name
Last Name
Email Address
Phone Number
Company
Position
Please disclose any material relationship to the nominee


Nominee Details
First Name
Last Name
E-mail AddressIf unknown, please enter none@none.com
Phone NumberIf unknown, please enter 0.
Company or OrganisationPlease provide the company or organisation for which you are nominating this person wiuth regard to their achievements. This may or may not be their current, primary, or only organisation.
Position or Title at that Company or Organisation
Online profilePlease provide a URL for a LinkedIn or other online profile. If you don't know, please enter "Unknown" and use the next question to attach a CV or equivalent bio of the nominee
Upload a CV or personal bio of nominee(Please use a document or PDF file type)


Judging Criteria Responses
AwardWhich State Entrepreneur Award is being nominated for?
SummaryAn overview of why the candidate is outstanding e.g. highly successful entrepreneur, a leader in some industry, etc. Usually the nominator will give some background into how they know the candidate and give some special insights into their career and personality.
RiskA measure of the way the candidate has crusaded a new business and/or technology, particularly in their own venture. The idea is that the winner has gone out on a limb to achieve things, rather than achieving things as part of their normal job. Often this is a founder ofa business who has had a vision and driven it through to fruition.
DifferenceA measure of how the candidate has made a commercial success and impact in our ICT industry. The idea is that the winner needs to be more than just successful, their success should also have a measurable/notable impact in the industry. Usually their achievements are recognised on the world stage in their chosen industry or niche area.
InspirationA measure of the type of person that the candidate is, especially as a role model for younger ICT aspirers. Often the winner has many other interests, such as mentoring, involvement in the community and/or social enterprises or as a vocal advocate for some cause.