You must have JavaScript enabled to use this form. Nominee (the person/group you would like to nominate) Please Select Award Category - Select -Citizen of the Year (Nominees must be 30+ years before 26 January 2026)Young Citizen of the Year (Nominees must be over 16 and under 30 years before 26 January 2026)Community Activity of the Year Nominee Full Name or Event Include contact name for Community Group. Nominee Email Nominee Phone Number Is the person being nominated an Australian Citizen? Yes No Address (If you do not know the address, please simply include the postcode so we can qualify the nomination is in the correct Local Government area) Reason for nomination - How has the person/activity contributed to the community? Describe the benefits that your nominee's contribution have brought to individuals, community activities, or the community in general? Nominator (your details) Your Name First Name Last Name Email Phone Leave this field blank
