Australia Day Award Nominations

Australia Day Award Nominations - Campbelltown City Council

Before submitting a nomination form, please read the eligibility
criteria below

Eligibility

Individuals who are Australian citizens who live in the Campbelltown Local Government Area,
and locally based community organisations are eligible to be nominated for a Campbelltown
City Australia Day Award.

You are not eligible if you are:

a previous recipient of an Award in the same category
an elected representative eg MPs, Councillors
a recipient of Australian and Imperial Honours
a member of the Australia Day Awards Sub Committee.

Applications close at 4pm on Friday 22 November 2013.

Late submissions will not be accepted.

Preparing your nomination

This is your opportunity to nominate a friend, colleague or relative who has contributed extensively to the community. You may also nominate a specific community event or project. Please include as much detail as possible about your nominee. A summary of the information that you provide will be compiled into a commemorative booklet that is available to the public.

Any communication regarding this nomination will be made by staff between 8.30am and 4.30pm weekdays only. Please ensure that you provide us with as many appropriate contact details as possible to ensure easy communication with both the nominee and yourself, as nominator.

The following categories are just some of the areas you may wish to cover in your nomination.

Community involvement or achievement
Sporting involvement or achievement
Educational involvement or achievement
Awards and nominations received
Cultural or artistic achievements

Special achievements eg acts of bravery
Involvements with charities and not for profit organisations
Contributions to the arts, environment or Indigenous issues
Volunteering efforts
Fundraising activities.

Sample nominations can be found in the link panel on the right to assist you.

Nomination form

DETAILS OF NOMINATOR (YOU)

Title

Given name

Family name

Organisation (if applicable)

Address

Suburb

Postcode

Email address

Phone number (W)

Phone number (H)

Phone number (M)

I hereby declare that the information contained in this nomination regarding the candidate/community event/project is to my knowledge, true and accurate.

DETAILS OF NOMINEE

Title

Given name

Family name

Preferred name (if applicable)

Address

Suburb

Postcode

Email address

Phone number (W)

Phone number (H)

Phone number (M)

Date of birth
(if under 18 at 31 December 2013)

(DD/MM/YYYY)

CATEGORY FOR NOMINATION

Citizen of the Year
(aged 18 years and over as at 31.12.2013)

Sportsperson of the Year

Young Citizen of the Year
(aged 17 and under as at 31.12.2013)

Community Group Initiative of the Year

TELL US ABOUT YOUR NOMINEE

Please complete a 100 - 300 word submission on your nominee on how they have demonstrated excellence in their field and to the Campbelltown community. Dot points are acceptable.

Please enter the letters/numbers as you see them below

If you would like to provide any supporting documentation to accompany your nomination, such as newspaper clippings or certificates, please scan and email them to us or mail a copy to:

Chairperson
Australia Day Awards Sub Committee
Communications and Marketing
PO Box 57
Campbelltown NSW 2560

Contact details

Communications and Marketing

Phone:

4645 4199