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Nomination Form

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

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

The judging panel will also consider the nominee’s engagement with St John NT, participation in its programs and initiatives, and their ability to demonstrate the organisation’s values: Respect, Integrity, Collaboration, and Empathy.

More information about the award categories and criteria is available here: Terms and Conditions

For assistance with your nomination/s, please email marketing@stjohnnt.asn.au or phone (08) 8922 2270.

The nomination period has been extended, now closing at midnight, Tuesday 7 October 2025.

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* 1. Nomination Award Category - please select one:

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* 2. Nominee's division or location (if known)

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* 3. Selection criteria 1: Leadership
Providing examples, 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 NT community. Provide details of any significant or outstanding contributions the nominee has made and what makes them eligible for this award.

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* 4. Name of nominee

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* 5. Selection criteria 2: Role model
Providing examples, explain how your nominee is a role model to their peers and the organisation. 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, explain how your nominee goes above and beyond the call of duty, clearly demonstrating St John NT’s values: Respect, Integrity, Collaboration and Empathy.

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* 7. Safety & Wellbeing Champion Award only
Providing examples, detail how the nominee has made a significant contribution to improving the health and safety performance of St John NT, or was involved in a significant safety event/achievement.

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* 8. Essence of St John Award only: Detail how the nominee exhibits behaviour in line with the St John NT mission to save lives and build resilience, exemplifies St John NT's values: Respect, Integrity, Collaboration and Empathy.

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* 9. Nominator details: Please provide your contact details so our judging panel can reach you if further information is required.

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* 10. Would you like your nomination to be made anonymously?

Thank you for your nomination.

Our 2025 Excellence Awards winners will be announced in November 2025.
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