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McCusker Centre for Citizenship Outstanding Intern Award Nomination Form

Please address each of the selection criteria in detail when answering Question 1 to Question 3 below, providing examples where possible: 1. Intern has made a significant contribution to their host organisation during their placement over and above what is normally expected in their role. 2. Intern has consistently applied themselves in their work and role within the host organisation, demonstrating a high level of commitment and professional responsibility. 3. Intern has displayed a positive attitude towards their work and other team members at the host organisation. 4. Intern has fulfilled the criteria above with the view to serve their local, national, or global communities and act in the best interests of their host organisation and beneficiaries, rather than for personal gain.

Internship Round
Please select the Internship round the student has completed
Consent - Release of Information
Do you consent for the information shared within this form, excluding contact information, to be shared as past of The McCusker Centre for Citizenship's marketing and promotional materials?
Question 1. Contribution to Host Organisation
Describe the contribution made by the nominee to their host organisation. Please briefly explain the intern's role during the placement, and provide specific examples of how the intern met challenges and exceeded expectations during their placement. [Character limit of 100,000]
  • {name}
Question 2. Impact of Contribution
Explain how the intern's contribution has impacted the community or client-group the organisation aims to serve. [Character limit of 100,000]
  • {name}
Q3. Examples to Selection Criteria
Outline why you believe the nominee deserves this award. Provide 2 - 3 specific examples that clearly reference the selection criteria above. [Character limit of 100,000]
  • {name}

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