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Expression of Interest Form - Awards Night Judging Panel 2026
We're looking for 5 community members to judge the 2026 Inclusion in Action Disability Awards.
No judging or committee experience needed.
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Your Details
(Required.)
Name
Phone Number
Email Address
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Why would you like to be part of the judging panel?
(Required.)
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What is your connection to the local community?
(Required.)
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What relevant lived or professional experience do you have?
(Required.)
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Do you have any accessibility requirements?
For example, the format you would like to receive nominations in, or support to attend the panel meeting.
(Required.)
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Possible conflicts of interest.
Are you nominating anyone, or closely connected to an organisation you think may be nominated? You will also complete a full declaration once the nominee list is known.
(Required.)
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Declaration
(Required.)
If selected, I agree to declare any conflicts of interest and to step aside from judging any nomination where I have a significant personal or organisational connection.
I agree to keep all nominations, score and panel discussions confidential.
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Signature
(Required.)
Date
