Australia Day 2025 Award Nomination Form

Australia Day 2025 Nomination Form

Instructions to Applicants
Getting Support

If you are having trouble with your application, please contact us on 02 6660 0300 during business hours or email kendra.lynch@richmondvalley.nsw.gov.au

Moving through the Nomination Form

To move through the form you can click 'Next' or 'Save and Continue Later' on the bottom of each page. All questions marked are compulsory. You are unable to submit your nomination unless all questions have been answered.

Submitting your nomination form

Applications close at midnight on Monday 9 December 2024.

Please review your nomination form before you submit it. Once you have reviewed your form you can submit it by clicking on 'Submit Application' at the bottom of the final page. Once you have submitted your nomination form no further editing is possible.

Attachments and support documents

It is recommended that you attach supporting documents. They can be photos, certificates or references. If you need to submit more attachments then the allowable limit here, please email them to kendra.lynch@richmondvalley.nsw.gov.au. Please include your details and clearly label all attachments if emailing.

Guidelines

General Conditions of Entry are as follows: (see each category for age restrictions)
1. Nominees must be a resident in the Richmond Valley and an Australian Citizen.
2. Nominations will not be accepted if an individual has won the same category in previous years.
3. Nominations must be submitted on Richmond Valley Council's ofﬁcial Australia Day nomination form.
4. Richmond Valley Council must receive nominations by midnight on Monday 9 December 2024.
5. The decision of the Australia Day Selection Committee is ﬁnal and correspondence will not be entered into in regards to that decision.
6. Awards will not be granted posthumously.
7. Contact details of nominators and nominees may be forwarded to local media.
Nomination Categories

Consider the following questions when nominating:

Citizen of the Year (25 years of age or over)
Recognises an outstanding resident of the community for their personal endeavours, achievements and community input.
- How has the nominee made a signiﬁcant contribution to the community?
- What personal goals and objectives has the nominee achieved?
- How did the nominee demonstrate leadership, innovation and creativity?
- Has the work been undertaken on a volunteer or paid basis?
- Showcase the nominees commitment to their family and local community.
- How is the nominee an inspirational role model or leader for the community?
- What degree of sacriﬁce or difﬁculty has the nominee experienced in their pursuits?
- Length of service?
Young Citizen of the Year (24 years of age or under)
Recognises an outstanding resident of the community for their personal endeavours, achievements and community input.

How has the nominee made a signiﬁcant contribution to the local community?
- Is the nominee pro-active in solving youth issues?
- Does the nominee show outstanding achievement in academic, sporting, cultural, environment or civic responsibility?
- How is the nominee an inspirational role model for peers and the community?
- What personal goals and objectives has the nominee achieved?
- Is caring, compassionate and sharing.
Sportsperson of the Year (18 years of age and over)
Recognises the committed sportsperson, coach, administrator or ofﬁcial whose actions inspire and encourage others and enrich the community through sport.
- What personal goals objectives or achievements has the nominee fulﬁlled?
- How has the nominee demonstrated outstanding performance within their ﬁeld (representative level, recognition of service, achievement within the sporting club)?
- Demonstrated an encouraging amount of effort by participation within their club, training their personal best and commitment to their sport?·
- How is the nominee an inspirational role model?
- How has the nominee made a special contribution to the club development?
- How has the work been undertaken on a volunteer or paid basis?
- How does the nominee display the qualities of sportsmanship and a sense of fair play?
Young Sportsperson of the Year (17 years of age or under)
Recognises a committed sportsperson whose actions inspire and encourage others and enrich the community through sport.
- How has the nominee demonstrated outstanding performance within their ﬁeld (representative level, recognition of service, achievement within the sporting club or school)?
- Exhibited a high level of commitment to both practice and game schedule?
- Contributed signiﬁcantly to the team's season and/or to the success of the team?
- The nominee exhibited positive qualities on and off the ﬁeld including leadership, team work and loyalty?
- How does the nominee display the qualities of sportsmanship, respect of
  coaches/teammates/oppenents and ofﬁcials as well as a sense of fair play?
Volunteer of the Year (25 years of age or over)
Recognises volunteers who have provided outstanding service to the community.
- How does the nominee exemplify the spirit of community service?
- Showcase how the nominee inspires others to engage in volunteer services.
- How does the nominee demonstrate initiative, leadersip and creativity in his/her services to others.
- List volunteer activities undertaken by the nominee and indicate length of service to the community.
- What impact has the nominee made in the course of their time volunteering and what were the beneﬁts received from that?
Young Volunteer of the Year (24 years of age or under)
Recognises volunteers who have provided outstanding service to the community.
- How does the nominee demonstrate commitment to volunteering?
- Does the nominee inspire others to engage in volunteer services?
- How does the nominee demonstrate initiative, leadership and creativity in his/her services to others
- How does the nominee overcome barriers to volunteering, such as disability, family or school commitments.

Nomination Information
1. Details of the person you are nominating for an award. This information is used to contact nominee and inform them of their nomination. *

First NameLast Name
Address*

Street Address

Street Address Line 2

Town/VillageState

Post Code
Email*
Phone Number*
2. Select an award category. Tick one box only. It is the discretion of the Australia Day Selection Committee to change the nominated category only in the best interest of the nominee.*

Citizen of the Year (25 years and over)Young Citizen of the Year (24 years and under)Sportsperson of the Year (18 years and over)Young Sportsperson of the Year (17 years and under)Volunteer of the Year (25 years and over)Young Volunteer of the Year (24 years and under)
3. Brief introduction. Tell us in 35 words or less, why you nominated this person. This information will be printed on their certificate.*
In the box below, refer to the individual nomination categories for ideas on what to include. The awards are highly competitive so include as much information as possible, including general details of the individual, past and present involvement in organisations, volunteer roles and positions as well as contributions made directly attributable to the candidate. Include information about when it occurred and/or the frequency it occurs.
In detail, write about why the nominated person deserves this award.*
5. List up to five outstanding achievements/contributions.*
6. Add attachment number one here. Try and group all documents, certificates and photos into the one file so you can upload the maximum amount you wish to share.

Add attachment

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7. Add attachment number two here

Add attachment

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8. Add attachment number three here

Add attachment

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Nominators Declaration
I declare that all details and information supplied in this nomination form and any attachments, are true and correct. Richmond Valley Council will be notified of any changes to the information supplied and any other information or circumstances arising that may affect this nomination.
9. I have read and agree to the above*

Yes, I have read and agree
10. Please state your details*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Post Code
Phone number
Email*
Please note: Once you submit the nomination you will be unable to make any changes to your application.

Please take the time to review your application before submitting.
Should be Empty:

Australia Day 2025 Nomination Form

Nomination Information

Nominators Declaration