Complete this form to nominate your staff for the 2024 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 phone number (required)
Nominee 2 name Nominee 2 position title Nominee 2 workgroup Nominee email Nominee 2 phone number
Nominee 3 name Nominee 3 position title Nominee 3 workgroup Nominee 3 email Nominee 3 phone number
Nominee 4 name Nominee 4 position title Nominee 4 workgroup Nominee 4 email Nominee 4 phone number
Nominee 5 name Nominee 5 position title Nominee 5 position title Nominee 5 email Nominee 5 phone number
Financial arrangement (required)
Privacy (required)