1. Nomination Details

Enter the details of the person you are nominating. This may or may not be yourself, you will be asked for your name & contact details on the next page...

* 1. Nominee First Name

* 2. Nominee Last Name

* 3. Nominee Email Address

* 4. Nominee Phone Number

* 5. Nominee Twitter alias

* 6. Is Nominee Attending Tech ED

* 7. Please provide a brief description of the Community Work the person you are nominating has done in the last year

* 8. Please provide a brief description of any challenges they may have faced with their community work during this time

* 9. If you know, can you provide a rough idea of how many people have benefited from the work completed by the nominee?

* 10. If you have anything else you would like to add, feel free to let us know here