HOME
  
SITE MAP
  
ABOUT US
  
BECOME A SPONSOR
  
MEDIA CENTRE
  
CONTACT US
  
Young Achiever Awards
Community Achievement Awards
Rural & Outback Awards
Regional Achievement & Community Awards
Premier’s Community Volunteering Awards
 
Northern Territory Nomination Form
Young Achiever Awards
General Information
Prizes
Judging
Awards
Entry Criteria
Nomination Tips
Conditions of Entry
Nomination Form
Download Nomination Form
Media Centre
Winners 2009
Winners 2008
Winners 2007
Winners 2006
 
  NT
  SA
  TAS

You are required to provide supporting information with this submission.
Any photographs or attachments need to be emailed to:   NT   - info@awardsaustralia.com

Please see Entry Criteria and Conditions of Entry.

Nominees Name
Address
Postcode
Contact Telephone No.
Telephone (After Hours)
Mobile
Email
Date of Birth
State being nominated for:
Current Residence (State)
How many years have you lived in your current state?
Local Council Area
Local Newspaper
Categories Nominated: Community Service Award
  Arts Award
  Sports Award
  Career Achievement Award
  Environment Award
  Science & Engineering Award
  Young Carer’s Award
  Regional and Rural Initiative Award
  Excellence in Youth Leadership Award
If nominated by someone:
Name of Nominator
Title / Position
Company
Address
Postcode
Contact Telephone No.
Telephone (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?
TV Radio Paper
  Other (specify)
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
Company
Address
Postcode
Contact Telephone No.
Telephone (After Hours)
Fax
Mobile
2. Name
Title / Position
Company
Address
Postcode
Contact Telephone No.
Telephone (After Hours)
Fax
Mobile
I have read and accept the conditions of entry. Yes
     

 

  Back to: Young Achievers Awards Northern Territory

 

Home | Contact Us | Privacy

Copyright © 2010 Awards Australia. All rights reserved.