Delegates' Awards Survey 2026

1.Name of Delegate:(Required.)

2.Name of Workplace:(Required.)

3.I nominate the above ASU member for the following award:(Required.)

Darrell Cochrane Delegate of the Year

Johanna Lytton Young Delegate of the Year

OH&S Representative of the Year

Women's Tile Award

4.Which of the criteria does the Delegate meet and Why?(Required.)

5.How have they displayed the desired attributes?(Required.)

6.Any other comments supporting your nomination:(Required.)

7.YOUR CONTACT DETAILS:(Required.)

Name:

Mobile:

Email:

Thank you for taking the time to complete this survey.

For further information please contact:

ASU Member Engagement Team | 1300 855 570 | info@asuvictas.com.au

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