Gold Award nomination form

Name of Chartered Architectural Technologist nominated: *

Please outline what the significant contribution or outstanding service is for (i.e. to the Institute, a Regional/Centre Committee or aspiration Group and/or a Committee or Taskforce): *

Citation (indicate the main reason(s) for the Gold Award and detail the grounds for nomination in no more than 600 words. As well as facts, it is important to bring out the character of the Chartered Architectural Technologist): *

Full name of proposer *

I confirm that I am the proposer named and the information I have provided is true to the best of my knowledge *