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Nomination Form
Regional Achievement & Community Awards
Entry Criteria
Nomination Tips
Conditions of Entry
Download NSW Nomination Form
Download VIC Nomination Form
Download QLD Nomination Form
Download WA Nomination Form
Media Centre
 
  NSW/ACT
  VIC
  QLD
  WA

You are required to provide supporting information with this submission.
Any photographs or attachments need to be emailed to:
NSW/ACT - nsw@awardsaustralia.com
VIC - vic@awardsaustralia.com
QLD - qld@awardsaustralia.com
WA - wa@awardsaustralia.com
 
Please see Entry Criteria and Conditions of Entry.

Nominee / Community Group
Address
Postcode
Contact Telphone No.
Telphone (After Hours)
Mobile
Email
Date of Birth
State being nominated for:
Current Residence (State)
  Period (years/months)
Local Council Area
Local Newspaper
Categories Nominated:
New South Wales / ACT Victoria
Business Enterprise Award Business Achievement Award
Events and Tourism Award Events and Tourism Award
Regional Service Award Regional Achiever Award
Environment and Landcare Award Environment and Sustainability Award

Community of the Year Award
- Population Under 15,000

Department for Victorian Communities
Volunteering Award
Community of the Year Award
- Population Over 15,000		 Department for Victorian Communities
Young People's Community Involvement Award
    Community of the Year Award
- Population Under 5,000
    Community of the Year Award
- Population Over 5,000
       
Queensland Western Australia
Business Enterprise Award Business Achievement Award
Events and Tourism Award Events and Tourism Award
Regional Service Award Regional Achiever Award
Environment and Landcare Award Environment and Sustainability Award

Community of the Year Award

Community of the Year Award
If nominated by someone:
Name of Nominator
Title / Position
Address
Postcode
Contact Telphone No.
Telphone (After Hours)
Mobile
Email
Summary of the nominee (up to 2000 words)
It is important that you try to keep to the guidelines in the criteria.
Is the Nominee aware of nomination? Yes No
Please advise the following of Judging results. Nominator Nominee
Has the Nominee been nominated previously? Yes No
How did you hear about the Awards?
REFEREES – Please indicate two people who are conversant with the nominee or community group's achievements and who would act as referees for this nomination.
1. Name
Title / Position
Address
Postcode
Contact Telphone No.
Telphone (After Hours)
Fax
Mobile
2. Name
Title / Position
Address
Postcode
Contact Telphone No.
Telphone (After Hours)
Fax
Mobile
I have read and accept the conditions of entry. Yes
     

 

Download PDF - NSW/ACT - Nomination Form
Download PDF - VIC - Nomination Form
Download PDF - QLD - Nomination Form
Download PDF - WA - Nomination Form
  Back to: Regional Achievement & Community Awards

 

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