Nominate for Square the Ledger Contribute to Square the Ledger. Simply complete the online form and we’ll be in touch with you soon. Required fields are marked with an asterisk (*). About your nominationAre you nominating someone else? * Yes No Name of the person you are nominatingGiven name * Family name * Former name Email address Contact number Date of birth Your detailsGiven name * Family name * Email address * Contact number * Please provide an account supporting your nomination. * Please limit your account to 500 words. Names and contact details of others who may be able to speak about your/their life and work Supporting mediaUpload an image * Please provide one high quality image. The image must be no smaller than 2560px in width or height and no greater than 8MB in size. Terms and Conditions * I have read and agree to the Terms and Conditions. Validation Confidentiality La Trobe University respects the privacy of your personal information and your privacy is important to us. Information collected on this form and provided to us will only be used for the purposes related to this form and to send you further information about our activities, including sending electronic information. La Trobe University handles personal information in accordance with its Privacy Policy and Procedure which is available at: www.latrobe.edu.au/privacy If at any stage you no longer wish to receive this information, please contact us
