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Practice Manager of the Year Application

Applications for the 2018 Practice Manager of the Year Award open on 1 March and close on 8 May.
An application form will appear below on this page between those dates.

ALL applicants (whether self-nominated or nominated by someone else) must complete this form.

In order to complete and submit the application form you will need the following:

  • Your name, contact details and AAPM Membership number
  • Practice profile (250 words)
  • Responses to the selection criteria: there is a separate response field for each criterion (approx 150-250 words for each)
  • Two (2) referee statements supporting your application from a Principal in the practice and an independent observer 

No additional material (e.g. images, videos, other documents) may be included with the nomination. This is to ensure a fair and equitable process for all applicants. If selection panels require additional information to assist them in making a decision, all nominees will be contacted with this request.

* Please note, you are unable to save this form for later, so please ensure you have all required information before commencing application *

PMOY Application Form

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  • Please Note:

    • Use the upload buttons to submit your two referee statements
    • Larger files (1MB or more) will take a few minutes to upload
    • Enter all other details directly into the form
    • If the form is correctly completed, you will be redirected to an acknowledgement page and also receive a confirmation email
    • If you are not redirected (allowing sufficient time for documents to upload), this means there is an error in the form
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  • Applicant Contact Details

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  • Practice Profile

  • Responses to Selection Criteria

  • Please respond to each individual selection criterion below.
    As a guideline, each response should be approximately 150-250 words.
  • Referee Statements

  • Filename
    Status
    Size
    • Filename
      Status
      Size
      • Photo Release

      • AAPM and AGPAL QIP use photographs of State and National winners of the Practice Manager of the Year Award in reports and award promotion. Please read the following statement and tick the box below to indicate your permission for this, should you be one of those winners.

        I grant to AAPM and AGPAL QIP the right to take photographs of me in connection with the Practice Manager of the Year Award. I also agree that AAPM and AGPAL QIP may use these photographs of me in print and/or electronically for such purposes as publicity, illustration, advertising, and Web content.