Australia Day Awards Nomination Form 2025

Nominations Now Open

Nominations for the 2025 Australia Day Awards are now open. Please fill in the online form below, OR complete and return the PDF Australia Day Awards Nomination Form.

Nominations close at 4pm on Wednesday 11 December 2024, any nominations received after this time will not be accepted.

Should you have any questions regarding completing the form, please contact council's Events Department on 02 4677 1100 or at events@wollondilly.nsw.gov.au

Nominee's Details

(the person / community organisation you would like to nominate)

Name

Address

Suburb and Post Code

Phone (H)

Phone (M)

Date of Birth

*The Awards Committee has the right to vary the category for which a nomination has been made if a different category is more appropriate.

*Special Awards may be given to nominees at the discretion of the Australia Day Awards Committee.

Nominator's Details

Name

Address / Suburb / Postcode

Phone (M)

Seconder

Name

Address / Suburb / Postcode

Phone (M)

I confirm the seconder is supporting this nomination. Wollondilly Shire Council may confirm this when reviewing applications.

Reasons for Nomination

You must provide as much information as possible below as the awards will be judged off the information provided.

Please Refer to Eligibility and Selection Criteria Below.

Why is this person / group / organisation worthy of being nominated for this award?

(in 150-200 words, summarise the reasons why your nominee should be considered. Please note that this text may be used in the selections process and used for promotional purposes).

Please use some examples to demonstrate their outstanding achievements and how they have contributed to our community in the last 12 months. (not to exceed 200 words)

Please provide some background information about your nominee / group / organisation. (not to exceed 200 words)

Are there other significant contributions and achievements you feel should be mentioned? (not to exceed 200 words)

Do you have any supporting documentation to submit with your nomination? (not to exceed 200 words)

Supporting information can be brief personal details about the person/community organisation and activities, personal achievements, awards, sporting involvements or achievements, and why you feel they should receive the award you are nominating them for.

Australia Day Awards Nomination Form 2025

Nominations Now Open

Nominee's Details

Nominator's Details

Seconder

Reasons for Nomination

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