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Office for Women

2021 South Australian Women’s Honour Roll nomination form

Nominate for the 2021 honour roll

The South Australian Women's Honour Roll is an important part of an ongoing strategy to increase formal recognition of women who contribute to the South Australian community. Held every two years, the Honour Roll acknowledges and celebrates the diversity of women in our community and their commitment to effecting change to ensure that we live in a safer and more inclusive society.

Twenty women who have made an exceptional contribution will be included in the 2021 South Australian Women’s Honour Roll publication. All women nominated will be included on the ongoing list of nominees on the Office for Women website.

Any woman who deserves recognition (including those deceased) can be nominated, and women can nominate themselves.

All fields need to be filled in, except the date of death if it is not applicable.

Download a paper form (PDF 117.0 KB)

Nominations close on Friday 25 June 2021 at 5.00 pm

The person you are nominating
First name
Surname
Date of birth *
Date of death (if applicable)
For landlines, include the area code, for example, 08
Does the person you are nominating identify as
Both Aboriginal and Torres Strait Islander?
Aboriginal?
Torres Strait Islander?
Why you are nominating this person?

Include:
  • What she has done for others
  • Her achievements in paid or volunteer roles
  • Her impact in the community.
You can attach extra pages and supporting material.
(max 10 attachments, no bigger than 10MB each)
Your details
First name
Surname
For landlines, include the area code, for example, 08
How do you know the person you are nominating?
If your nominee is selected as one of the 20 outstanding women to be included in the 2021 South Australian Women’s Honour Roll, do you give permission for the nomination to be forwarded for inclusion in other Award and Honours programs? *

This may include
  • Australia Day awards,
  • Order of Australia honours.
The details I have provided to the Office for Women about the nominee and myself are true and accurate. *
Referees
First name
Surname
For landlines, include the area code, for example, 08
First name
Surname
For landlines, include the area code, for example, 08
These referees know I have provided their details to the Office for Women for the purpose of supporting this nomination.

Contact us

Office for Women
Phone (08) 8303 0961
Email DHSOFWEvents@sa.gov.au

Post
Office for Women
GPO Box 292
Adelaide SA 5000

This site is licensed under a Creative Commons Attribution 4.0 Licence. © Copyright 2021 DHS .

Provided by:
Department of Human Services
URL:
https://officeforwomen.sa.gov.au/womens-policy/womens-leadership/awards-and-honours/2021-south-australian-womens-honour-roll-nomination-form
Last Updated:
02 Mar 2021
Printed on:
17 Apr 2021
The Office for Women website is licensed under a Creative Commons Attribution 3.0 Australia Licence. © Copyright 2016