Women in Time - Inspiring Alumni NOMINATION Survey

Nominate someone you know, now! Tell us their story.

Women in Time – Inspiring Alumni celebrates the outstanding achievements and contributions of extraordinary Loreto College Ballarat alumni who have become exemplars of Mary Ward’s vision, that “women in time to come, will do much,” women “apt for all good works,” and/or who “do ordinary things well.” It formally recognises alumni whose service and contributions have made a significant difference to Loreto College, our regional, state, national or global community and who will be an inspiration to current and future students.

Nominations open annually and close on 31 August each year.

(Please read the Criteria and Information for Induction to Loreto Women in Time – Inspiring Alumni and use as a guide when completing this form)

1.YOU - Who is making this nomination? Name of Nominator(Required.)

I wish to remain anonymous YES or NO

Name

Email Address

Contact Phone Number

Mailing Address

Relationship to your Nominee

2.Women in Time - Inspiring Alumni - NOMINEE(Required.)

Full name of the person you are nominating

Any other names known as

Class of or years at Loreto College (Loreto school)

Date of Birth (if known)

Date of Death (if applicable)

Postal Address

Contact Phone Number

Contact email address

3.Is the Nominee aware of this nomination? (Required.)

Yes and I have their personal approval to proceed with the nomination

No, you will need to contact them for approval to proceed with the nomination

Please list other or comment

4.Category that you are nominating this person for (tick all that you think apply)(Required.)

5.Field/s of endeavour as per category nominated – (200 word limit)

6.Reason for nominating (400 word limit)

7.Major career achievement/s (400 word limit)

8.Impact of nominee’s achievement/s (400 word limit)

9.Awards, honours, prizes of the nominee (200 word limit)

10.Post school studies / qualifications

11.Supporting referees (Minimum 2 required, at least one professional referee)