Nomination Form for Local Agents of Peace Award
The ‘Local Agents of Peace’ awards are given to a Queensland-based person or organisation who has made a substantial contribution to peace and peace building activities, consistent with principles of non-violence, either locally, nationally, or globally.
Please complete this nomination form by 8 August 2023.
If you have any problems completing this online form, please contact
polsis.gradcentre@uq.edu.au
1. Name of person or organisation you would like to nominate:
*
(required)
2. Nominee's Contact Phone:
3. Nominee's email address
*
(required)
4. Please outline the nature and scope of the work of the nominee (400 words max):
*
(required)
5. How long has the nominated person/organisation worked in this position or undertaken the relevant activities? And, if applicable, have they done this work in professional capacity or as volunteers? (400 words max):
*
(required)
6. Please outline the achievements of person/organisation in furthering the goals of peace (400 words max):
*
(required)
7. How has the person’s/organisation’s work been consistent with the principles of non-violence? (400 words max):
*
(required)
Your name:
*
(required)
Your contact number:
*
(required)
Your email address:
*
(required)
The information gathered in this form will be solely used for the purpose of nominating the 'Local Agents of Peace' Award, as part of the celebration of the ‘Local Agents of Peace’ special event held on the annual International Day of Peace. The information will be used by the Rotary Peace Centre at the University of Queensland’s School of Political Science and International Studies for this purpose. For more information on UQ's Privacy Policy please visit:
https://ppl.app.uq.edu.au/content/privacy-management-policy
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