WSC Australia Day Award Nominations 2024

AUSTRALIA DAY AWARDS: 26 JANUARY 2024

NOMINATION FORM
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.
Category nominated*

Citizen of the YearYoung Citizen of the YearCommunity ServicesSportsperson of the YearCommunity EventYoung Achiever of the YearYoung Sportsperson of the YearBusiness House of the Year
Details of person submitting nomination
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Organisation represented
Signature*

Clear
Date*

MonthDayYear
Date
Details of person being nominated
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number (if possible)
Please enter a valid phone number.
Please Note: All nominees MUST accept their nomination in order to be considered.
Has this person accepted their nomination?*

Yes

AUSTRALIA DAY AWARDS: 26 JANUARY 2024