SAIPA MASTERY CIRCLE AWARDS – 2025 NOMINATION FORM

Instructions:

Complete all sections of this form.
Attach supporting documentation (for example, CV, reference letters, and evidence of achievements).
You can also submit your nomination and documents by 07 March to awards@saipa.co.za

Section 1: Nominee Information

1. Full Name

2. SAIPA Membership Number

3. Contact Number

4. Email Address

5. Job Title

6. Company/Organization

7. Sector (eg. Corporate/SME/Academic/Public Sector etc)

8. Award Category

Section 2: Nomination Details

Please provide the following details (Microsoft word, pdf)

Summary of the Nominee’s Achievements: Provide a brief summary of why the nominee deserves this award. Include key accomplishments related to the award category criteria.

Explanation of Achievements: Share specific examples, outcomes, and evidence that align with the criteria for the selected award category. Be as detailed and specific as possible.
Commitment to SAIPA Values and Ethical Leadership: Describe how the nominee upholds SAIPA’s values and contributes to ethical leadership in the profession.

9. Provide a summary and explanation of Nominee’s Achievements:*

10. Explain or give examples of how the Nominee demonstrates ethical leadership:*

Section 3: Supporting Documents

Please attach the following documents:

Detailed CV or Company Profile
Reference Letters or Testimonials
Evidence of Achievements (e.g., articles, reports, publications, certifications)

11. Detailed CV or Company Profile

12. Reference Letters or Testimonials

13. Evidence of Achievements (e.g., articles, reports, publications, certifications)

Section 4: Nominator Information

14. Full Name*

15. Relationship to Nominee*

16. Email Address

17. Phone Number*

Section 5: Declaration

By submitting this nomination, I confirm that the information provided is accurate to the best of my knowledge. I understand that the nominee’s details may be used for promotional purposes related to the SAIPA Mastery Circle Awards.

19. Signed by*

19. Date*