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Self Nomination Form Template

Streamline your self-nomination process with ease

If you've ever felt overlooked for opportunities, a self-nomination form can empower you to take the initiative. This template is designed for individuals seeking to advocate for themselves in roles, awards, or projects, ensuring your achievements are recognized. With benefits like saving time on submissions, increasing your visibility within organizations, enhancing your confidence in self-advocacy, and providing a professional presentation of your qualifications, this form can be a game-changer. Explore how it can work for you.

Full legal name
Email address
Phone number
Organization or affiliation
Current role or title
Brief summary of your nomination
Key achievements or contributions
Impact and outcomes (who benefited and how)
Links to supporting work or portfolio (URLs)
Timeframe of the work (e.g., Jan 2023 to Aug 2024)
Nomination category
I confirm I meet all published eligibility criteria for this nomination
Yes
No
Do you have any conflicts of interest to declare?
Yes
No
If you have a conflict of interest, please describe it (enter N/A if none)
If selected, I consent to being publicly named as a nominee or recipient
Yes
No
Type your full name to sign
Date of signature
I certify that the information provided in this nomination is accurate and complete
Yes
No
Referee full name
Referee email address
I consent to the organizers contacting my referee if needed
Yes
No
Accessibility accommodations required
Preferred contact method
Email
Phone call
Text message
Either email or phone
Prefer not to say
Age band
Under 18
18-24
25-34
35-44
45-54
55-64
65+
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Paper art illustration related to Self Nomination Form Template and FormCreatorAI concepts

When to use this form

Use this form when you allow people to put themselves forward for recognition, roles, or opportunities. It fits award programs, board seats, officer elections, scholarships, and speaking slots. Your HR team, nonprofit committee, or conference staff get a clean intake with consistent criteria. Nominees share qualifications, achievements, and conflicts up front, helping your reviewers screen faster and fairly. Pair it with the Awards nomination form to capture third-party nominations in the same cycle, and add the Board member information form to collect eligibility details after shortlisting. For elections, connect it to the Officer election form to manage ballots later. The result is a verified shortlist you can route to judges or voters with less back-and-forth.

Must Ask Self Nomination Questions

  1. What position, award, or program are you self-nominating for, and which category applies?

    This routes your entry to the right reviewers and criteria. It also mirrors labels used in the Board nomination form so your team keeps terms consistent.

  2. How do you meet the eligibility requirements?

    Clear eligibility lets you screen faster and avoid awkward rejections. Specific details (years of experience, credentials, membership or residency) make audits easier later.

  3. What measurable achievements best support your case?

    Concrete results help judges compare nominees fairly. Numbers, dates, and outcomes reduce bias and vague claims.

  4. If selected, what time commitment can you make, and do you have any conflicts of interest?

    Availability and conflicts affect readiness and integrity. Knowing this early prevents last-minute withdrawals.

  5. Please provide two references or endorsements with contact details.

    References verify your claims and fit. Quick contacts speed due diligence if you advance.

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