OWCA ‘Dare To Be Wise’ Award Nomination Form

OWCA ‘Dare to be Wise’ Award Nomination Form

Instructions: Please complete this nomination form to nominate an outstanding Old Wesley Collegian for the OWCA ‘Dare to Be Wise’ Award. Please ensure all required fields are completed and supporting documentation is attached.

Nomination Deadline: Wednesday 9 December 2026, 5pm AEST

Nominee Information

First Name

Last Name

Year of Graduation from Wesley College

Current Occupation/Field of Work

Email Address

Mobile Number

Address

Street addressStreet address line 2

City

State

Postcode

Nominator Information

Nominator First Name

Nominator Last Name

Relationship to Nominee

Nominator Email Address

Nominator Mobile

Nomination Statement

In up to 500 words, please provide a detailed statement outlining how the nominee meets the award criteria.

Be sure to include:

Significant achievements in their professional field, community service, or personal development
How they exemplify the values of Wesley College (excellence, respect, integrity, compassion, inclusivity, innovation)
How their service extends beyond Wesley College and the OWCA, contributing to the wider community

Supporting Documents

Please provide at least one letter of support from individuals familiar with the nominee’s achievements and contributions. Additional supporting materials (news articles, awards, project descriptions, etc.) may also be included.

Letter(s) of Support (Required)
Attach at least one letter of support from a fellow OW, community member or supporter
Additional Supporting Documents (Optional)o Publications, media recognition, previous awards, etc.

Letters of Support *

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Additional Supporting Documents

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Declaration & Consent

By submitting this nomination, I affirm that the information provided is accurate to the best of my knowledge. I understand that the selection panel may contact me or the nominee for further information. If selected, I consent to the nominee’s name, achievements, and award details being publicly shared.

Signature

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Date *