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Online Form - 2023 Community Citizen of the Year Awards nomination form

Nominate

Do you know someone who makes your community a better place?

Every community has local heroes. Auspire – Australia Day Council WA, Community Citizen of the Year awards is your opportunity to acknowledge those making an outstanding contribution to your local community.

Outstanding contribution and community service includes areas such as; education, health, fund-raising, charitable and voluntary services, business, sport, arts, the environment, social inclusion or any other area that contributes to the advancement and wellbeing of a community.

We encourage you to provide as much information as possible about your nominee to provide them the best opportunity for consideration during the shortlisting and selection process.

Reflect, Respect and Celebrate community contribution across our state on Australia Day. We’re all part of the story.

Nomination details

The person or group that you would like to nominate

Is the person nominated an Australian citizen?*

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Nominator

Your details

Do you want to remain anonymous to the nominee?*

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