LGBTQ+ ROLE MODEL AWARD NOMINATION FORM

This nomination is for an LGBTQ+ individual within your organisation who is highly visible as a role model and has made an outstanding contribution to raising awareness, advocating for, and promoting LGBTQ+ inclusive service delivery.

Their contributions should include both internal and external work, sending strong and consistent messages to potential employees, service users, customers, clients, stakeholders, LGBTQ+ people engaging with your organisation, and the broader LGBTQ+ community and public.

The principle that “you can’t be what you can’t see” is widely recognised, and year-on-year data demonstrates that visible LGBTQ+ role models have a significant impact on inclusive service delivery and workplace culture.

The presence of visible role models is particularly important for individuals with intersecting and under-represented identities. For example, LGBTQ+ women, among other under-represented LGBTQ+ groups, consistently report the value of seeing role models who reflect their lived experience, yet note they are often underrepresented. This is also true for other under-represented LGBTQ+ communities across the spectrum of sexual orientation, gender identity, and expression.

This application can be completed and submitted between Monday, 11 January 2027 – Monday, 1 February 2027.

Please provide the details below exactly as you would like them to appear on Awards materials, including social media, website, announcements, publications, and trophies (where applicable).

Please review all information carefully before submitting. ACON's Pride Inclusion Programs will reproduce names and details exactly as submitted and cannot accept responsibility for any inaccuracies in the nomination form.

'Save and Complete Later' Function:

• IMPORTANT: Use the 'Save and Complete Later' function as you complete your nomination. This function can be utilised throughout the year, as you prepare, review and complete.

• This function allows you to return to your work without losing any work previously updated.

• If you do not use this function, any changes or updates made may not be saved and work may be lost. Pride in Diversity will not be responsible for any work lost.

• Upon clicking 'Save and Complete Later,' you will be sent a link to utilise to return and continue work on your nomination.

'Submit' Function:

• Once you have completed and reviewed all work and areready to submit, you must click the 'Submit' button upon completion.

• If you do not click 'Submit' upon completion, your nomination will not be accepted.

• Do not click the 'Submit' function unless you are ready to formally complete and submit your nomination.

Placeholder Link Function:

• Each time you click 'Save and Complete Later,'you will be sent an updated link to continue you work on your nomination. Any work done on an 'outdated' link will result in work being lost.

• Any link provided to you and your organisation can only be utilised by those within your organisation.

• If multiple people are working on a nomination for their organisation, they must share this correctlink or all work will not be saved properly. Each placeholder link email will be sent to the person who is working on the nomination at time of saving.

This may include but is not limited to:

• speaking at internal events as a visible LGBTQ+ role model

• posting regularly on internal social media channels

• advocating for workplace inclusion training

• volunteering at new employee inductions

• advocating on behalf of fellow LGBTQ+ employees, service users and/or underrepresented groups within the community

• other general advocacy and support for LGBTQ+ employees and/or service users

This may include but is not limited to:

• speaking at external LGBTQ+ inclusion related events as a visible LGBTQ+ role model

• voicing advocacy and support for social inclusion issues impacting the LGBTQ+ community

• advocating on behalf of under-represented groups within the LGBTQ+ community

• participating in community-based events

• communicating advocacy and support for LGBTQ+ inclusive service delivery in the media

• other general advocacy and support for LGBTQ+ employees and/or service users
  

Written references are required in support of the nomination. Please provide the written references below, along with the name and position title of each referee. 

Please do not provide only contact details without including a written reference.

Please identify any additional information, not covered previously that you would like to include in support of this nomination.