The Carey Medal is presented at Founders Day to a member of the Carey community in recognition of exceptional and outstanding service to the community within the state, nationally or internationally.
Nominations Close 31 May
If you have any questions, please contact careymedalsuggestions@carey.com.au.
Who are you nominating?

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Title (Dr, Mr, Mrs, Ms etc.)

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First name (Required.)

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Surname (Required.)

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Position

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Organisation

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Email (Required.)

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Contact number (Required.)

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Peer Year (if applicable)

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Nominee’s relationship with the Carey community, e.g. student, parent, alumni, staff member, etc. (Required.)

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Nominator details and connection with the nominee: (Required.)

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Why should they be recognised?
Please provide an overview of the reasons why you feel the person being nominated is worthy of the Carey Medal, including the following points:
• how the person has given exceptional and outstanding service to the community
• why the person is motivated to dedicate themselves to this service
• how they have shown dedication, perseverance or commitment in this service. (Required.)

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What is it that makes the nominee special?
Please provide any additional comments on your nominee’s suitability for an award. (Required.)

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Please provide links to any relevant online information about the individual.

Corroborator details

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Corroborator 1 (Required.)

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Address (Required.)

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Phone number (Required.)

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Email (Required.)

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Corroborator 2 (Required.)

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Address (Required.)

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Phone (Required.)

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Email (Required.)

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