Are you nominating for yourself or someone else?

Self nominationNomination for someone

We encourage external nominators to fill out the form to the best of their abilities. Once the nomination campaign is complete, Asia Society Australia will reach out to the nominee directly for further information.

Nominator Information

First name

Last name

Email

What is your relation to the nominee?

Nominee Information

First name

Last name

Job title/role

Organisation

Email address

Where is the nominee currently based? (Please specify city and country)

Which category are you nominating for?
Please note that Gen A nominees must be between the ages of 18-35.

Culture and CommunityBusinessResearch and EducationGen A Emerging Leader

I confirm that the nominee is between the ages of 18-35 years.

Yes

Nomination Questions

Please answer the following questions aligning with the category that you have nominated for. Recent experience and achievements will be prioritised during the selection process.

Impact
How has your work made a meaningful and sustained impact in Australia or Asia? Please provide examples of organising, mobilising or inspiring others.

Maximum 150 words.

Innovation
How have you demonstrated innovation and creativity to be a game changer in your field of work?

Maximum 150 words.

Australia-Asia Relations
How has your work contributed to enhancing Australia's understanding of Asia and/or fostering connections with the region?
Maximum 150 words.

Nomination

Why do you think the nominee should be recognised as an Asia Game Changer?
Please provide relevant information about the nominee's experiences, contributions, and achievements. Asia Society Australia will contact the nominee directly to complete a full application.
Maximum 200 words.

Bio and Headshot

Please provide a biography including your current job title and organisation, professional background and experience, notable achievements, and career highlights till date. (Please note that this may be published on our website should you be shortlisted as a finalist).

Maximum 100 words.

Please upload a headshot. (This may be published if you are shortlisted as a finalist)

Demographics

Gender

MaleFemaleNon-binary

What best describes your cultural background?

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