Complete this form to nominate your staff for the 2021 cohort of the Graduate Certificate in Policy Analysis. Up to five staff can be nominated on one form. If you have more than five nominees please complete an additional form.

Department and contact details

Name of Department/Agency/Council (required) Department contact name (required) Department contact position title (required) Department contact email (required) Department contact telephone number (required)

Nominee details

Nominee name (required) Nominee position title (required) Nominee workgroup (required) Nominee email (required)
Nominee 2 name Nominee 2 position title Nominee 2 workgroup Nominee email
Nominee 3 name Nominee 3 position title Nominee 3 workgroup Nominee 3 email
Nominee 4 name Nominee 4 position title Nominee 4 workgroup Nominee 4 email
Nominee 5 name Nominee 5 position title Nominee 5 position title Nominee 5 email
Financial arrangement (required)

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