2026 Parkinson’s Industry Awards — Award Recipient Nomination Form

Nominate an Award Recipient

Introduction

The Parkinson’s Industry Awards recognise individuals and organisations making an exceptional contribution to Parkinson’s care, research, innovation and community support.

The Awards will be presented at the Parkinson’s Gala Dinner & Industry Awards on Saturday, 10 October 2026, at Maroochy RSL.

Before beginning, please make sure the person or organisation you are nominating knows about and agrees to the nomination.

You may nominate someone for one award category at a time. If you wish to nominate different people or organisations, please complete a separate form for each nomination.

Award values statement

Award recipients must demonstrate integrity, respect, service and conduct consistent with the values of the Parkinson’s community.

The judging panel may decide not to present an award where no nomination sufficiently meets the award criteria and required standards of character and conduct.

Before you begin

The form should take approximately 10–15 minutes to complete.

You will be asked to explain why the nominee deserves recognition and provide examples of their contribution or impact. Supporting documents are optional.

Please do not upload medical records or include detailed private health information.

I confirm that I have read the information above *

I confirm that the nominee knows about and agrees to this nomination *

I am authorised to nominate on behalf of my organisation, if applicable

Select the Award

Choose an Award Category

Select the award that best matches the nominee’s contribution. The questions on the following pages will adjust according to the category selected.

Award 1

Professional Excellence Award

Recognising outstanding professional or clinical excellence in Parkinson’s care.

Award 2

Research & Innovation Award

Recognising scientific, technological or service innovation that advances Parkinson’s care, knowledge or support.

Award 3

Emerging Professional Award

Recognising an outstanding early-career professional demonstrating exceptional promise and positive impact.

Award 4

Community Leadership Award

Recognising an organisation, volunteer, advocate or community initiative making an outstanding contribution to the Parkinson’s community.

Award 5

Clare Cullinan Spirit Award

Recognising a person living with Parkinson’s or a carer whose courage, compassion, resilience, selflessness and integrity inspire others.

About You

Please provide your details so the Awards team can contact you if clarification is required.

First Name *

Last Name *

Email Address *

Telephone Number *

Organisation

Position or Role

Your relationship to the Nominee *

Please describe your relationship to the nominee

Nomination capacity

Are you submitting this nomination: *

As an individualOn behalf of an organisation

I confirm that I am authorised to submit this nomination on behalf of the organisation.

About the Nominee

Are you nominating: *

An individualAn organisationA community initiative or program

Nominee’s first name *

Nominee’s last name *

Nominee’s email address *

Nominee’s phone number

Organisation

Position or role

Town, city or region *

Website or professional profile

Name of initiative or program *

Responsible organisation, if applicable

Primary contact name *

Contact email address *

Town, city or region *

Website or information link

The nominee is:

A person living with Parkinson’sA current or former carer of someone living with Parkinson’s

Please do not provide details about the nominee’s diagnosis, medication, treatment or medical history. The judging panel only needs sufficient information to understand the nominee’s contribution and the reason for the nomination.

Nomination Statement

Tell Us Why You Are Nominating Them

Why does this person, organisation or initiative deserve to receive this award? *Describe the nominee’s contribution, the difference they have made and why their work or example deserves recognition. Please provide specific examples wherever possible.

Impact: Who has benefited from the nominee’s contribution, and what difference has it made? *

Evidence: Please provide one or two specific examples that demonstrate the nominee’s contribution or impact. *

How has the nominee demonstrated professional or clinical excellence in Parkinson’s care? *Consider the quality of their work, person-centred practice, professional leadership, collaboration and commitment to improving outcomes.

How has the nominee’s work improved the experience, care or support of people affected by Parkinson’s? *

What distinguishes the nominee from others working in a similar role? *

Describe the research, technology, service or innovation being nominated. *

What Parkinson’s-related need or problem does it address? *

What evidence is available of its current impact or future potential? *Evidence may include research findings, service results, community feedback, adoption, improved access or other measurable outcomes.

How could this work contribute to improved Parkinson’s care, knowledge or support? *

Why should the nominee be considered an emerging or early-career professional? *

How has the nominee already demonstrated promise, initiative or positive impact? *

What qualities suggest that the nominee could make an important future contribution to the Parkinson’s community? *

Describe the nominee’s contribution to the Parkinson’s community. *

How has the nominee brought people together, improved support or responded to an unmet community need? *

What lasting or wider impact has resulted from the nominee’s leadership? *

How has the nominee demonstrated courage and resilience? *

How has the nominee shown compassion, selflessness or support for others? *

How has the nominee inspired or positively influenced other people within the Parkinson’s community? *

Please explain how the nominee demonstrates integrity and character consistent with the spirit of this award. *

Character and Award Suitability

The Parkinson’s Industry Awards are public honours. The judging panel must be satisfied that recipients demonstrate appropriate character, integrity and conduct.

Required declarations

I believe the information in this nomination is accurate and provided in good faith. *

To the best of my knowledge, the nominee demonstrates integrity, respect and conduct consistent with the values of the Parkinson’s community. *

I have not knowingly omitted information that would materially affect the nominee’s suitability for a public award. *

I understand that the Awards team may contact me or the nominee to clarify information or undertake appropriate checks. *

Are you aware of any issue that the Awards team may need to consider before presenting the nominee with a public award? *

NoYesI am unsureI would prefer to discuss this confidentially

Please do not include allegations or highly sensitive information in this form. The Awards team will contact you privately to discuss the matter.

Supporting Information

Would you like to provide supporting material? *

YesNo

Upload supporting documents

Browse

You may upload letters of support, published material, photographs, reports or other relevant evidence. Please do not upload medical records, identification documents, confidential client information or material you are not authorised to share.

Supporting linksLinks to relevant websites, articles, projects or publications

May we contact another person who can support this nomination? *

YesNo

Referee’s name *

Field Type Required conditionally Referee’s name Short text Yes Referee’s organisation or relationship to nominee *

Referee’s email *

Referee’s phone *

I confirm the referee has agreed to their details being provided *

Review and Submit

The Parkinson’s Centre collects the personal information provided in this form to administer the 2026 Parkinson’s Industry Awards, assess nominations, contact nominators and nominees, undertake appropriate checks and coordinate the Awards presentation.

Information may be shared with authorised Awards administrators and members of the independent judging panel. It will not be used for unrelated marketing without separate consent.

Shortlisted nominees will be contacted before their name, photograph, story or nomination information is published.

If the requested information is not provided, we may be unable to assess the nomination.

You may contact The Parkinson’s Centre to request access to or correction of personal information held about you.

Phone: (07) 5408 4387
Email: admin@theparkinsonscentre.com.au

Privacy Policy: https://www.theparkinsonscentre.com.au/privacy-policy/

I confirm that the information provided is accurate to the best of my knowledge *

I confirm that the nominee has agreed to this nomination and to the Awards team contacting them. *

I understand that submitting a nomination does not guarantee selection as a finalist or award recipient. *

I have read and understood the privacy collection notice. *