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Nomination Form

Nominations for the St John NT Excellence Awards 2024 are now open.

The St John NT Excellence Awards celebrate and recognise paramedics, staff and volunteers who demonstrate leadership, professionalism and compassion in their roles within our organisation and the community.

Please complete one nomination form per person, and provide as much detail as possible as to how the nominee meets the criteria.

The judging panel will also take into consideration engagement with St John NT, participation in St John NT programs and initiatives and their ability to demonstrate St John NT's values of respect, integrity, collaboration and empathy.

Further information regarding the Awards categories is available in the St John NT Excellence Awards Terms and Conditions at stjohnnt.org.au

All entries must be submitted electronically. Entries close midnight, Monday 7 October 2024.

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* 1. Nomination Award Category - please select one:

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* 2. Name of nominee

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* 3. Division or location (if known)

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* 4. Selection criteria 1: Leadership. Providing examples, please explain how your nominee demonstrates excellence in leadership of clinical practice or professional skills - this may be through an outstanding level of care, professionalism and compassion for members of the Northern Territory community. Please provide details of any significant or outstanding contribution the nominee has made and what makes them eligible for this award.

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* 5. Selection criteria 2: Role model. Providing examples, please explain how your nominee is a role model to their peers and the organisation. Please provide details of any significant or outstanding contribution the nominee has made and how it makes them eligible for this award.

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* 6. Selection criteria 3: St John NT values: Providing examples, please explain how your nominee goes above and beyond the call of duty, clearly displaying St John NT’s values of respect, integrity, collaboration and empathy.

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* 7. Safety Champion Award only: This category is open to staff and volunteers. Detail how the nominee has made a significant contribution to improving the health and safety performance of St John NT or is involved in a significant safety event/achievement.

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* 8. Essence of St John Award only: This category is open to staff and volunteers. Detail how the nominee exhibits behaviour in line with the St John NT mission to save lives and build resilience.

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* 9. Nominator details. Please provide contact details as the judging panel may need to contact you for further information.

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* 10. Would you like to remain anonymous

Thank you for your nomination, recipients of the St John NT Excellence Awards 2024 will be announced in November 2024.
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