Ag Tech Industry Impact Award – Nomination Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Please note that the ‘Ag Tech Industry Impact Award’ nominations will close 2 June 2025. Introduction The ‘Ag Tech Industry Impact Award’ recognises a business or individual that is making a significant impact in North Queensland’s agricultural industry (Mackay to Hinchinbrook), through innovative ag tech solutions. Whether through technology development, implementation, or advocacy, this nominee is driving transformation, improving efficiency, and shaping the future of agriculture with cutting-edge innovation. Judging Nominations are judged by an independent panel, with members to be confirmed closer to the event. Judges will be selected to ensure fairness, integrity, and a strong understanding of North Queensland’s agriculture sector. Judging will be based on the merit of the nominations received and any subsequent information as requested. The independent judging panel’s decision will be final. Important Information for Applicants Before submitting your application, please ensure you have completed all sections of this form and addressed each of the criteria thoroughly. Entries will be assessed on the strength of your responses to the questions below and on the quality and relevance any supporting material provided. You are invited to nominate yourself or your business, or to put forward another individual or business you believe has made a valuable contribution to North Queensland agriculture. If you are nominating someone else, please complete the nomination form to the best of your knowledge. Bowen Gumlu Growers will inform the nominee of their nomination and assist in finalising the submission if needed. Please note that this web form cannot be saved mid-way. We strongly recommend preparing your responses in a Word document first. You may then either upload your completed application at the end of this form or copy and paste your answers into the relevant fields below. A shortlist of five applicants will be selected and recognised at the NQ Growers Gala, where the winner will also be announced. All shortlisted applicants will be notified by 30th June 2025. For assistance or further enquiries on the Ag Tech Industry Impact Award, please contact Gillian Russell from Bowen Gumlu Growers Association on 0427 009 929 Nominator Details (your details) Name *FirstLastPhone *Email *Entrant Details This nomination is for:BusinessIndividualCompany / business name: *Please complete if this nomination is for a business.Individuals Full Name *Please complete if this nomination is for an Individual.ABN:Primary Contacts NameFirstLastPositionIndividuals Job Title / Business NamePhone *Phone *Email *Email *Address/Location: *Address/Location: *Provide an overview or description of this individual or business.Is this a business or individual? How many years have they been involved in agriculture or ag tech? What is their role in the industry? Provide a short overview of who they are and what they do. Up to 150 words.Describe the ag tech innovation this nominee has developed or implemented.What is the solution, and how does it work? Highlight any unique or pioneering features. Up to 150 words.How long has this technology or innovation been in use, and who is using it?Include how and where it’s being adopted—by farmers, agribusinesses, or across the supply chain. Up to 150 words promoting name: / What results or improvements has this innovation delivered in North Queensland?Examples of measurable impact: increased efficiency, cost savings, better yields, reduced waste, etc. Up to 150 wordsHow does this ag tech support sustainability or help prepare agriculture for the future?Examples may include how it optimises resources, supports environmental goals, or creates long-term benefits. Up to 150 words.How is the nominee promoting ag tech across the industry?Describe how the individual or business is working with others, mentoring, running workshops, presenting at events, or leading projects? Up to 150 words.What is the nominee’s vision for the future of ag technology?How do they plan to grow, scale, or evolve their innovation for continued impact? Up to 150 words.OPTIONAL: Please upload any supporting documents. This could include certifications, photographs or media highlights.OPTIONAL: Please upload any supporting documents. This could include certifications, photographs or media highlights. OPTIONAL: Please upload any supporting documents. This could include certifications, photographs or media highlights. OPTIONAL: Please provide any links to social media accounts or website pages that support your nomination.A shortlist of five applicants will be selected and recognised at the NQ Growers Gala on the 30th August 2025, where the winner will also be announced. All shortlisted applicants will be notified by 30th June 2025. All nomination responses will be kept confidential and used solely for judging purposes, with highlights from the five shortlisted entrants featured in the official Gala Awards booklet. For assistance or further enquiries on the Ag Tech Industry Impact Award, please contact Gillian Russell from Bowen Gumlu Growers Association on 0427 009 929 Submit