Australia Day 2024 Award Nomination

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Nominate an individual or organisation for their significant contribution to the community or outstanding achievement during 2023 by:
✔️Selecting a category for your nomination.
✔️Completing the details of the person or organisation you are nominating
✔️Providing your contact details
✔️Providing the contact details of someone who will support this nomination

Nominations close at 4.30pm on Wednesday, 10 January 2024.

For which category are you nominating the person or organisation? *

Please select one of the radio buttons.

Citizen of the Year

Young Citizen of the Year (must be under 26 years of age on 26 January 2024)

Community Group of the Year

Sportsperson of the Year (must be over 18 years of age on 26 January 2024)

Junior Sportsperson of the Year (must be under 18 years of age on 26 January 2024)

Community Event of the Year

Who are you nominating? *

Please provide their full name or the organisation's full title

What is their address? *

Please provide as full an address as possible, including street number, street name and locality.

What are their contact details? *

Please provide their mobile phone number or landline for home and work, and email address (if known). Please start a new line for each contact point and describe as 'mobile', 'home', 'work', 'email'.

What are your reasons for nominating this person/organisation? *

Please list achievements of the nominee during 2023. Explain past and present personal or public contributions and achievements, their involvement in clubs and associations, their community involvement, etc. If you need more space or wish to supply further information or documents, please email them to Council at council@coonambleshire.nsw.gov.au and we'll attach it with this nomination. Feel free to use dot points.

What is your name? *

What is your address? *

Please provide your full address, including street number, street name and locality.

What are your contact details? *

Please provide your mobile phone number or landline for home and work, and email address. Please start a new line for each contact point and describe as 'mobile', 'home', 'work', 'email'.

What is the name of someone else in our community who supports this nomination? *

What is their address? *

Please provide their full address, including street number, street name and locality.

What are their contact details? *

Please provide their mobile phone number or landline for home and work, and email address. Please start a new line for each contact point and describe as 'mobile', 'home', 'work', 'email'.

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