• Australia Day Nomination Form

  • Each year Coolamon Shire celebrates Australia Day with an official ceremony at which the Shire’s Australia Day Awards are announced. The awards are an integral part of these celebrations, recognizing the hard work and dedication of local people who typify the Aussie spirit. To be eligible for an award, individuals must reside in the Coolamon Shire.

    If you wish to nominate someone that you feel deserves public recognition for their achievements and contributions to the community, please complete this nomination form.

    Nominations close Wednesday 3 December 2025.

  • NOMINATOR INFORMATION

  • NOMINEE INFORMATION

  • I nominate the above mentioned in the following category (please tick): 

  • Please provide a clear and detailed description outlining the reasons for your nomination.

    Please also ensure the information you provide is accurate as your nomination will be printed in the event program. 

    You may wish to include things such as: Volunteer work carried out within the community; General contributions to the community; Executive positions held on any committees; Sporting awards and achievements.

  • Award winners will be determined at the December 2025 Council meeting.

    If you are having any issues with this form, please contact Molly Campbell Council's Community Engagement Officer on 69272492 or mcampbell@coolamon.nsw.gov.au

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