Refer to the criteria for eligibility for nomination.
Each person must accept their nomination in order to be considered.
Ideally, the person nominated should be able to be in attendance on Australia Day to receive their Award.
A person can be nominated for more than one category (please submit a separate form for each category).
It is important to provide as much detail as possible on the attached pages as the judges are independently selected and may not know the nominee.
* indicates compulsory field - must be completed.