Award nominations

PLEASE NOTE: Fields marked with * are required.

Nominator details

Nominee details


Referee #1

Referee #2

Supporting documentation

Maximum 1000 words.

Attach a PDF or MS Word document no longer than six (6) pages. Maximum size: 3MB

Attach a JPG image. Maximum size: 5MB

Confirmation of travel budget (Honorary Degree nominees only)

I can confirm that a budget has been identified to cover the costs associated with travel and expenses for the recipient to attend a conferral ceremony in Australia




All information provided will be treated as confidential. At La Trobe University, we respect the privacy of your personal information. We collect personal information in your application in order to handle your nomination. In accordance with privacy laws, personal information about you contained in your nomination will not be used for any other purpose. You may have the right to access personal information we hold about you, subject to any exceptions in relevant laws, by contacting the Alumni Relations Team on (03) 9479 2011. The La Trobe University privacy policy can be viewed at: