NOMINATION FORM
2014 Bridges COBA
Emerging Leader Award
Please refer to the information sheet when completing the nomination
The Bridges COBA Emerging Leader Award is targeted at up-and-coming managers who want to
build a leadership career in the customer owned banking industry. The Award, valued at up to
$10,000, will cover travel, accommodation and attendance at an industry specific conference.
Nominees will need to demonstrate:
 Their commitment to the customer owned banking industry
 Innovation in management
 Aptitude for leadership
 Ability to implement initiatives that benefit their institution
Nominee:
Type nominee's name here (self-nomination also encouraged).
Age in 2014:
Confirm nominee is 35 years of age or under at 31 December
2014.
Name of Sponsor (if
applicable):
Type name of person nominating here.
Credit Union/Building
Society/Mutual
Bank/Friendly Society:
Type name of organisation that employs nominee.
Postal Address:
Type postal address here.
Phone & Fax Nos:
Type nominee’s and sponsor’s phone and fax numbers here
Email address:
Type nominee’s and sponsor’s email addresses here.
Credit Union/Building
Society/Mutual
Bank/Friendly Society
Undertaking:
Type statement giving undertaking by nominee’s employer to
meet the costs for successful Award recipient to attend the 2014
World Credit Union Conference in the Gold Coast, 27-30 July
2014 to receive their award.
2014 Bridges COBA Emerging Leader Award - Nomination Form
page 1
Biographical details of
Nominee:
Attach brief curriculum vitae to this nomination form.
Position at
Organisation:
Type information here.
Length of time
employed and in this
role:
Type information here.
Personal Qualities:
Type information here – nominees are encouraged to refer to the
criteria for the award which include leadership and innovation,
high personal integrity and initiative and a commitment to the
customer owned banking industry.
Provide examples that
demonstrate use of
innovation and
initiative in recent roles
for the benefit of the
customer owned
banking institution.
Type information here or provide supporting documents.
Provide examples of
your leadership
capacity in terms of
how it has in the past
and can in the future
benefit the customer
owned banking
institution.
Type information here or provide supporting documents.
How can you best
demonstrate your
commitment to the
customer owned
banking industry?
Type information here or provide supporting documents.
REFEREES’ STATEMENTS
Please include two supporting referees’ statements with the nomination form
2014 Bridges COBA Emerging Leader Award - Nomination Form
page 2
CRITERIA AND CONDITIONS OF ENTRY
1.
Nominee must be an employee of a credit union, building society, mutual bank or friendly
society.
2.
Have demonstrated use of innovation and initiative in recent roles for the benefit the
customer owned banking institution.
3.
Can provide examples of leadership capacity in terms of how it has in the past and can in the
future benefit the mutual.
4.
Can demonstrate a commitment to the customer owned banking industry.
5.
Be a person of high personal integrity.
6.
Be under 35 years as at 31 December 2014.
7.
Nominee’s employer must undertake to meet the costs for the Award recipient to
attend the 2014 World Credit Union Conference in the Gold Coast from 27-30 July
2014 to receive their Award. This includes flights, accommodation and Conference
registration fees. All travel arrangements for recipients are to be organised by the nominee’s
employer organisation.
8.
The Award Committee’s decision is final and the Committee will not entertain any
correspondence in relation to the granting of any awards and may, at their absolute
discretion, decline to make awards even though entries were received.
9.
The Award recipient must remain employed within the customer owned banking industry for a
period of at least one year following receipt of the award to be eligible to receive the prize of
registration and travel costs to an industry specific conference to the value of $10,000.
10. Following the Award recipient’s attendance at their selected conference, the recipient must
deliver a short verbal presentation on the overseas conference(s) attended at the 2015 COBA
AM Institute Convention to be held on Darwin in September 2015.
11. All information provided by entrants must be true and accurate in all material particulars and
the judging panel reserves the right to seek confirmation of any claims or representations.
For queries or further information contact Kate Forsythe, c/- COBA Awards Committee on
02 8035 8440 or kforsythe@coba.asn.au
ENTRY FORMS
1. Entries (including supporting documentation) will be accepted in electronic format only.
2. Entries must be received at COBA no later than 5pm AEST, Friday 20 June 2014 via email to
kforsythe@coba.asn.au.
3. The nominator will be notified when nomination forms are received. If you have not received
confirmation within 48 hours, please phone or email Kate Forsythe to ensure your entry has
been arrived.
4. Please ensure two supporting referees’ statements are included with the completed
nomination form.
Please return this form and supporting referee statements to:
Kate Forsythe, c/- COBA Awards Committee, kforsythe@coba.asn.au
no later than 5pm AEST, Friday 20 June 2014.
2014 Bridges COBA Emerging Leader Award - Nomination Form
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