Nomination Form

Nominations for the St John NT Excellence Awards 2021 are now open.

The St John NT Excellence Awards celebrate and recognise paramedics, staff and volunteers of St John Ambulance Australia (NT) Inc. (St John NT) 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 integrity, respect, quality, dedication and compassion.

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, Thursday 30 September 2021.

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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. 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

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* 5. Selection criteria 2: Role model. Please explain how your nominee is a role model to their peers and the organisation.

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* 6. Selection criteria 3: St John NT values: Please explain how your nominee goes above and beyond the call of duty, clearly displaying St John NT’s values of integrity, respect, quality, dedication and compassion.

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

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* 8. Would you like to remain anonymous

Thank you for your nomination, recipients of the St John NT Excellence Awards 2021 will be announced in November 2021.
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