Register
View All Projects Back

Nominate for the 2027 bursary

    Nominee's details

    Personal details of the person being nominated.

  • Q.1

    Title

    *
    Character limit : 50
  • Q.2

    First name

    *
    Character limit : 50
  • Q.3

    Surname

    *
    Character limit : 50
  • Q.4

    Current employment

    *
    Character limit : 50
  • Q.5

    Previous roles/positions relevant to this nomination

    *
    Character limit : 100
  • Q.6

    Telephone

    *
    Character limit : 50
  • Q.7

    Email

    *
    Character limit : 50
  • Q.8

    Town / city of residence (bursary is only open to Queensland residents)


    Character limit : 100
  • Q.9

    Is the nominee a Queensland resident?

    *

    • Nominator's details (this can also be the nominee)

    Personal details of the person making the nomination.

  • Q.10

    Title

    *
    Character limit : 50
  • Q.11

    First name

    *
    Character limit : 50
  • Q.12

    Surname

    *
    Character limit : 50
  • Q.13

    Position/job title

    *
    Character limit : 50
  • Q.14

    Organisation

    *
    Character limit : 50
  • Q.15

    Relationship to nominee

    *
    Character limit : 50
  • Q.16

    Telephone

    *
    Character limit : 50
  • Q.17

    Email

    *
    Character limit : 50

    • Which criteria does the nominee meet?

  • Q.18

    Which of the below critera do you qualify for?


    (Maximum selection limit : 2)
    Category 1 - AgTech Leadership and Innovation
    Category 2 - Ecosystem Builder and Community Contribution
    Both categories are addressed
  • Q.19

    Leadership qualities
    How does the nominee demonstrate leadership qualities such as innovation, creativity, collaboration, positive influence on others, and ethical conduct?

    *
    Character limit : 2000
  • Q.20

    Contribution beyond their role
    In what ways has the nominee gone above and beyond the expectations of their role to advance AgTech or agricultural innovation in Queensland?

    *
    Character limit : 2000
  • Q.21

    Commitment to regional and rural Queensland
    How does the nominee demonstrate a strong commitment to regional and rural Queensland through their work or community involvement?

    *
    Character limit : 2000
  • Q.22

    Reflecting Liz Alexander’s values
    How does the nominee embody Liz Alexander’s values of collaboration, empowerment, and community-driven innovation?

    *
    Character limit : 2000
  • Q.23

    Innovation and impact
    Describe how the nominee has developed or delivered an innovative product, service or technology that provides a unique value proposition and demonstrates real-world impact.

    *
    Character limit : 2000
  • Q.24

    Industry connection
    How has the nominee contributed to connecting people, ideas or organisations across Queensland’s AgTech or agricultural innovation ecosystem?

    *
    Character limit : 2000
  • Q.25

    Has the nominee received prior recognition for their contribution? If yes, please provide details.

    *
    Character limit : 2000

    • Nominator or referee information

    Please attach a statement from a supporting nominator or referee that provides these details.

  • Q.26

    Letter of recommendation:
    Please upload a letter of recommendation from an industry representative or organisation supporting the nominee’s leadership, contribution, and impact.

    *
    Choose a file to upload
    (Allowed File Types : PDF,DOC,DOCX,XLS,XLSX,PNG,JPG,JPEG,GIF)

    • Supporting information and help

  • Q.27

    You may add supporting information here. Please note that only one file can be uploaded. If you wish to send more than one file, please email them to us at DPIAgTech@dpi.qld.gov.au and put the nominee's name in the subject line.

    Choose a file to upload
    (Allowed File Types : PDF,DOC,DOCX,XLS,XLSX,PNG,JPG,JPEG,GIF)
  • Q.28

    If you have any questions, please email us at DPIAgtech@dpi.qld.gov.au or use this space to provide us with a further comment.

    *
    Character limit : 350
  • Q.29

    Please attach a photo of the nominee. 

    *
    Choose a file to upload
    (Allowed File Types : PDF,DOC,DOCX,XLS,XLSX,PNG,JPG,JPEG,GIF)