Nominee details Full name Address Year of birth Nomination category Arts, theatre and literature Business and public service Military service Research and education Science and innovation Sport Other Other category Is the nominee aware of the nomination? Note: Council will formally advise the nominee of their nomination. Yes No Photo of nominee Please upload a photo of the nominee.One file only.10 MB limit.Allowed types: jpg, jpeg, png. Nominated by details Full name Address Email Phone Number Nominee background information Summary Provide a summary statement about the nominee that demonstrates their outstanding accomplishments and contributions. (50 words) Ties to Maitland Describe the nominee’s significant ties to Maitland (eg born and raised here, educated here, most notable achievements here, etc.). (50 words) Biographical information Provide essential biographical information on the nominee including their major achievements and contributions, education/training, professional/work history and honours/awards received. (75 words) Selection criteria Association with Maitland Local Government Area Born in Maitland Substantial period childhood Lived-in Maitland LGA for a substantial period of childhood/ adolescence Substantial period and contribution Lived in Maitland LGA for a substantial period of time during which they made a significant contribution to their field of endeavour Significant and enduring contribution to the field of endeavor? Specific achievements of the nominee and their impact? Source of civic pride and inspiration Specify ways in which the nominee and their achievements are a source of civic pride for Maitland, and characteristics that make the nominee a role model for others, including specific positive changes the contributions by the nominee have made that inspire others. Supporting documents Nominations must include copies of supporting documentation, such as evidence of official appointments, awards, publications, representation on sporting teams, etc.One file only.20 MB limit.Allowed types: pdf, xls, xlsx, zip, doc, docx. Referee 1 details Referee 1 name Email Phone Number Referee 2 details Referee 2 name Email Phone Number Conditions of entry I have read and accept the conditions of entry as outlined in the Hall of Fame Policy and the information contained in the nomination is, to my knowledge, true and accurate. Submission Please note: Nominees are selected on merit, not endorsement and nominations will be assessed against the following criteria: Association with Maitland local government area (30%) Significant and enduring contributions to their field(s) of endeavour (30%) Ways in which the nominee and their achievements are a source of civic pride for Maitland (30%) Specific positive changes the nominee's contributions have made that will inspire others by their example (10%) The answer you entered for the CAPTCHA was not correct. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
