KJM - United Worker's Union Graduate of the Year Grant

United Worker's Union Graduate of the Year Grant

Privacy Statement

The Department of Health is collecting information on this form for the purpose of administration activities and functions of the KJ McPherson Education & Research Foundation. For further information about privacy and other uses and disclosures of your personal information, refer to the Department of Health Privacy Plan as amended from time to time, available on the Department's website at Queensland Health Privacy Page.

Instructions to Nominators

Persons who nominate an officer for a United Worker's Union Grant, should be familiar with the criteria as set out on the KJM web site.

Help

Should you have any queries about completing the form, please email
kjmfoundation@ambulance.qld.gov.au or call the KJM Help line on 07 3635 3368.

Signatures

By ticking a "Tick to Acknowledge" box, you acknowledge that Queensland State Laws will accept this communication as containing your signature within the meaning of the Electronic Transaction (Queensland) Act 2001. Electronic Transactions (Queensland) Act 2001.

Emailing

Once the form is completed click the Submit button. The form data will be sent to the KJM database, with a copy being sent to the LASN Manager, who will review and verify the nominator's judging remarke and score. the reviewed criteria will be forwarded by email to KJM.