HSCA Historian Awards Nomination Form

Award nominating for*
- Historian of the Year
- Emerging Historian
- Life Long Historian
- Digital Technologies Award
- Contribution to Regional or Community History (Individual or Group)
Name and contact details of the nominated person
Full Name*
Email*
Phone
Postal Address
Street Address Address Line 2 Suburb State Postcode Country
Name and contact details of the nominator/s
Nominator 1 - Full Name*
Email*
Phone
Postal Address
Street Address Address Line 2 Suburb State Postcode Country
Nominator 2 - Full Name*
Email*
Phone
Postal Address
Street Address Address Line 2 Suburb State Postcode Country
Citation (1 page max)
Citation file
Accepted file types: pdf, jpg, gif, png, doc, docx, txt, Max. file size: 256 MB.
If not uploading now, please email directly to [email protected]
Consent
Consent*
I agree to the below statements
I/we (both nominators) have completed this form to the best of my/our knowledge. By submitting this form, we are formally nominating person stated above for a HCSA Historian Award.
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