Carol Burns Award nomination form | Actors' & Entertainers' Benevolent Fund of QLD Inc. | Helping Performers in Need since 1975

Nomination form

Eligibility

Queensland artist (resident).
Ongoing professional with a focus on live performance.
Artist who has a recognisable and reputable body of work in Queensland (minimum 5 years).

About you

Please tell us more about yourself.

Name

First Name

Last Name

Email

Phone

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How do you know the nominee?

Please tell us why you think the nominee should receive the award.

Please ensure you include their recent and relevant achievements, including the impact they have had on the industry.

About the nominee

This section pertains to the nominee and how their achievements align with the award criteria. Please respond with as much information as you can.

Name

First Name

Last Name

Email

Phone

(###)

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How many years has the nominee been active in the industry?

What is the nominee's profession?