Nominations are now open! Thank you for acknowledging your colleagues for their exceptional contribution to women’s health and well-being.

2024 WHA Individual Medal of Distinction Nomination Form

The medal may be awarded to members and non-members of Women’s Healthcare Australasia. For those directly affiliated with WHA, the criteria for awarding the Medal of Distinction include a significant period of service to WHA, and sustained leadership and advocacy for women’s health.

Nominee Details

Name of Nominee(Required)
Please give description of level of qualification, and any relevant certifications or honours.
Max. file size: 49 MB.
Please give a description of nominee credentials, previous employers and previous relevant job descriptions. Please attach additional files to this form if required.
Max. file size: 49 MB.
Please describe the way in which the nominee has contributed to women's healthcare. Please attach additional files to this form if required.
Max. file size: 49 MB.

Details of Nominator

Name of nominator(Required)