Queensland Literary Awards 2017

Nomination form (fee-paying)

Use this form to submit up to ten (10) nominations from the same publisher for the 2017 Queensland Literary Awards (QLA), where the nominations attract a fee.

Please read the 2017 QLA Guidelines prior to completing the form to ensure all nominated works are eligible. Nomination fees cannot be refunded for ineligible nominations.

How to nominate:

  1. Complete and submit this form.
  2. Post or courier five (5) copies of each nominated book per category to the appropriate address shown below.
  3. Form must be completed, plus five (5) copies of the nominated book per categorys must be received at the address below, before 5pm on Wednesday 31 May 2017.
Postal address:
Attn: Queensland Literary Awards
c/o State Library of Queensland
PO Box 3488
South Brisbane QLD 4101
Courier address:
Attn: Queensland Literary Awards
c/o State Library of Queensland
Loading Dock
Stanley Place
South Brisbane QLD 4101

If you have any questions, please contact us at qla@slq.qld.gov.au or on (07) 3842 9486.

Nominator

The nominator listed below will be the contact person for all the nominated works listed in this form. The nominator is responsible for ensuring compliance with the 2017 QLA Guidelines and forwarding all nomination information on to authors.

Nomination 1
QLA category
Author's citizenship status
Nomination 2
QLA category
Author's citizenship status
Nomination 3
QLA category
Author's citizenship status
Nomination 4
QLA category
Author's citizenship status
Nomination 5
QLA category
Author's citizenship status
Nomination 6
QLA category
Author's citizenship status
Nomination 7
QLA category
Author's citizenship status
Nomination 8
QLA category
Author's citizenship status
Nomination 9
QLA category
Author's citizenship status
Nomination 10
QLA category
Author's citizenship status
Declaration*

I confirm that the statements below are correct:

  1. The information I have provided in this form is true and correct.
  2. I have the permission of all nominated authors to nominate their book/s for the 2017 Queensland Literary Awards.
  3. I have read the 2017 Queensland Literary Awards Guidelines and the nominated works and their authors comply with all stated criteria. I understand that the books I submit will not be returned.
  4. All authors nominated are either over 18 years of age or consent of the author's parent or guardian has been obtained.
  5. All authors nominated are Australian citizens or permanent residents of Australia for the three years prior to the closing date.
  6. With this form I have included payment details and five (5) copies of each nominated work.