Change Makers Nomination Form

Over 1.5 million volunteers in Western Australia are making a difference within their community, and Volunteering WA believes their stories should be celebrated.

That's why we developed Change Makers, a social media interview series spotlighting volunteers and sharing their journeys to inspire the next generation of volunteers.

We want to hear from YOU about who you think should be celebrated next. Tell them you appreciate them by nominating them today via the below form and you might just see them on our social media channels!

*Please note that regional Change Makers instalments will be done virtually, or when the nominee is next in Perth.

Name of Nominator*

First NameLast Name

Nominator's Email*

example@example.com

Name of Nominee*

First NameLast Name

Nominee's Email*

example@example.com

Nominee's Phone

If your nominee volunteers for a Volunteer Involving Organisation, please list it below (as many as applicable)

e.g Red Cross, St John WA, City of Perth

What does your volunteer do at their Volunteer Involving Organisation?

e.g Donation sorting, helping with events, gardening

Is your nominee based in regional WA?*

YesNo

Which region are they based in?*

Why are you nominating this volunteer for Change Makers?*

Go on, list all the reasons this volunteer is amazing!

If you have any photos of your nominee, please upload them here

These will be used in the Change Makers video if your nominee is selected