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2018 Individual Nomination Form
18
Questions
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1
Before you begin...
If your organisation is submitting nominations in more than one award category, a separate entry form must be completed for each submission.
Please note that this form auto saves your responses so if you are submitting more than one nomination, please ensure that you have updated the details correctly.
There are five (5) sections in this form, which should be used to explain the role of the individual nominee, and why you believe that they should be considered for the relevant award category.
Please note that there is a strict word limit of 500 words per section.
If you would like to review the questions in this form before you complete them, you can hover over the question timeline to see what is coming up.
You can also access
FAQs
about the ASEAs program here, and if you need help you can contact CSIA on 1300 912 700 or via email at
awards@csia.com.au
.
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2
I Wish to Nominate
*
This field is required
Myself
Someone Else
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3
Nominator Details
*
This field is required
This is the individual who is putting forward the nominee for the award. If you are nominating yourself, you will need to renter your details here.
Nominator Name
Organisation / Company
Organisation A.B.N
Job Title
Email Address
Phone (Business)
Mobile Number
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4
Nominee Details
*
This field is required
This is the details of the individual you will be putting forward for an award.
Nominee Name
Organisation / Company
Job Title
Email Address
Phone (business)
Mobile Number
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5
Nominee Address
*
This field is required
Street Address
Street Address Line 2
City
State / Province
Post Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
United States
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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6
Category
*
This field is required
Please select only ONE (1) box below
Customer Service Executive of the Year
Customer Service Manager of the Year
Customer Service Leader of the Year
Customer Service Professional of the Year
Customer Service Advocate of the Year
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7
Judging Criteria - Important Information
The questions that we ask are related to the core elements of the International Customer Service Standard (ICSS: 2015-2020). We’d recommend reviewing the Standard as a way of familiarising yourself with some of the issues and factors that may be considered in judging your submission. Where possible, please provide specific examples of how the nominee has delivered against the core elements of the Standard, as referenced below:
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8
Overview of nominee and their role
*
This field is required
Please provide an explanation of the nominee's role and why you believe that they should be considered for the award.
0/500
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9
Learning and growth perspective
*
This field is required
How has the nominee improved the skills and talents of themselves and those around them in their role? How have they contributed to the organisation delivering customer service excellence?
0/500
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10
Operational perspective
*
This field is required
How has the nominee ensured a consistent level of customer service within the organisation? How has the nominee innovated in their role to ensure a better level of customer service? How have they contributed to after sales service delivery, if applicable?
0/500
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11
Service perspective
*
This field is required
How has the nominee worked with customers, suppliers and partners to deliver a better quality of product or service for the organisation? If applicable, how have they used market trends and industry best practice to deliver better customer service? How have they built long-term relationships with customers?
0/500
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12
Finance and governance perspective
*
This field is required
How has the nominee created growth in revenue, cost efficiencies and/or profit for the organisation in delivering superior customer service? If applicable, how has corporate social responsibility played a role in what they do?
0/500
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13
Optional: Attach supporting documents
If you have documents that support your nomination, please upload them here.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Browse Files
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14
Referee #1
*
This field is required
NOTE: Referees will only be contacted a) when nominees are selected as finalists, and b) if required by the ASEAs Judging Committee.
Referee Name
Organisation / Company
Referee Job Title
Email Address
Phone (business)
Mobile Number
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15
Referee #2
*
This field is required
NOTE: Referees will only be contacted a) when nominees are selected as finalists, and b) if required by the ASEAs Judging Committee.
Referee Name
Organisation / Company
Referee Job Title
Email Address
Phone (business)
Mobile Number
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16
ASEAs 2018 Terms and Conditions
*
This field is required
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17
Payment Options
*
This field is required
Pay via Credit Card
Pay via Invoice
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18
Payment
*
This field is required
*Note: Individual CSIA member discounts only apply to the nominee, not the nominator.
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ORDER SUMMARY
GST
AUD
Subtotal
AUD
Total cost
AUD
Individual Nomination - Member*
$
225.00
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$
335.00
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Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
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September
October
November
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May
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October
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Expiration Month
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
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