Distinguished Fellow Nomination 2027

Distinguished Fellows are exceptional Western Australian leaders whose contribution and influence have strengthened leadership capacity and positive outcomes across the State, and who are also Leadership WA alumni.
Nominees should demonstrate:

significant and sustained leadership impact which benefits Western Australia
meaningful contributions to the WA community
values-driven leadership and an ongoing commitment to the Leadership WA network.
an ability to inspire and positively influence others through their leadership
graduation from a Signature or Rising Leadership Program at least four years ago.

Please provide specific examples and evidence in your nomination wherever possible. The Selection Panel will assess submissions against the published award criteria and consider the breadth and depth of the nominee's contribution and leadership impact.

Nominations will close on Friday 27 November 2026.

Nominator's contact details

Name(Required)

First Last

Phone Number(Required)

Email(Required)

Enter Email Confirm Email

Position Title(Required)

Organisation(Required)

Relationship to nominee(Required)

Nominee's contact details

Name(Required)

Phone Number(Required)

Email Address(Required)

Position title(Required)

Organisation(Required)

In which year did the nominee graduate from a Leadership WA Rising Leadership Program or Signature Leadership Program?

Outstanding leadership and contribution to Western Australia. Please provide evidence of the nominee's key leadership achievements and impact. (max. 500 words) Consider:(Required)

Significant achievements or outcomes
Community leadership
Volunteer contributions
Social, economic, environmental or cultural impact
Breadth and longevity of contribution

Alignment with Leadership WA's Vision and Purpose (max. 200 words)(Required)

Leadership WA's vision is "Courageous leadership shaping a better WA." Please describe how the nominee demonstrates this vision through their leadership, actions and influence. Consider how they embody courageous, values-led leadership, contribute positively to their community, organisation or sector, and help create meaningful change for Western Australia.

Contribution to the Leadership WA Network (max. 300 words)(Required)

Please describe how the nominee has contributed to and strengthened the Leadership WA network since completing their program. Consider how they have:

Supported, mentored or connected fellow alumni and participants
Shared their knowledge, experience or expertise for the benefit of others
Fostered collaboration, relationships or opportunities across the network
Contributed to a culture of leadership, learning and community
Given back to the Leadership WA network through formal or informal leadership and engagement

We are interested in the impact of their contribution rather than the number of activities they have participated in.

Is the nominee aware of your nomination?(Required)

Yes

No

N/A - Self Nomination

Please attach any supporting information that may assist the selection panel, including:(Required)

Biography or CV
Links to media articles
Awards or recognition
Testimonials or endorsements

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Accepted file types: word, excel, ppt, pdf, image, video, audio, Max. file size: 10 MB, Max. files: 5.

Leadership WA Awards - Distinguished Fellow nomination

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