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2024 LSQ MERCK LIFE SCIENCE RURAL AND REGIONAL SERVICE AWARD – Nomination Form

Nominations close at midnight on 30 June 2024. 

NOMINEE INFORMATION

This will help us promote your achievements if you are shortlisted.

NOMINATOR INFORMATION
Leave blank if you are nominating yourself. Otherwise, please complete all fields.

ELIGIBILITY CRITERIA

Nominees must:

  • work for an LSQ member organisation in any area of the life sciences
  • work or volunteer in rural or regional Queensland (which excludes Brisbane, Moreton Bay, Redland Bay, Logan and Ipswich)
  • not have won this award in the last five years
  • not have served on the LSQ Board of Directors in the past three years. 

AWARD JUDGING CRITERIA

Judges are seeking an individual whose dedication has contributed to the ongoing success and sustainability of rural and regional Queensland’s life sciences industry.

Your submission should provide evidence that you (or your nominee) has:

 

  • impacted the industry in which they work or volunteer
  • impacted the broader rural or regional area
  • demonstrated innovation and creativity in their work
  • helped raise Queensland's profile and capabilities in the life sciences.
Provide a maximum of 250 words, ensuring you address the Award Judging Criteria above.
Please provide a high-quality portrait as a jpg or png. Note this will be used in all award publicity and media communications.
Please provide a 2pp (max) CV to support your application.
Applicants are encouraged to provide letters of support from external parties to strengthen their entry. Please attach these as PDFs.