The Lord Mayoral Awards Nomination Form 2023 | City of Darwin

Important message

Changes to Library access and book drop

Construction of the new Civic Centre building will soon commence. The current Civic Centre carpark and nearby entrance will be closed from Monday 28 April and remain closed while works take place. The City Library will remain open and will be accessible from the Civic Centre Customer Services’ entry near Civic Park.

Please note that the City Library returns chute will be temporarily unavailable. A new Book Drop will be installed at the Cavenagh St side of the Civic Centre soon.

We kindly ask all customers to:

return items inside the Library during opening hours, or
use one of the 24/7 return chutes located at Casuarina, Nightcliff or Karama libraries.

For more information about the project, please go here.

We apologise for the inconvenience and thank you for your understanding.

Your contact details (person making the nomination)

Name

Phone

Please provide details of the person you are nominating

Name

Phone

Nomination Category (please select a category for your nomination)

The Champion Award

A person who has made an outstanding contribution to the community advocating for the rights and well-being of people with disability

The Rising Star Award

A person under 25 who makes an ongoing contribution to their school, workplace or community advocating for the rights and well-being of people with disability

Please describe how the nominee meets the criteria of the selected award category

Please attach any supporting evidence if required.

One file only.
30 MB limit.
Allowed types: gif, jpg, jpeg, png, txt, rtf, html, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg.

Privacy Statement

Information provided in this form will be used for the assessment process and award announcements. The person nominating may be contacted to clarify any information contained within the form. City of Darwin may disclose the information provided by you to a third party in accordance with the NT Information Act or our Privacy Policy which is available on our website.

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