Nomination for The Ouyen Inc. & Ouyen Lions Club Australia Day INDIVIDUAL Awards (2026)
This nomination form is for the Australian of the Year Individual Awards for the Ouyen and district community. The awards acknowledge positive role models and their contribution to the community, commitment to the long term and short term benefits of others, and impact on the wellbeing and welfare of the community.Those nominated must be undertaking the initiatives on a voluntary basis.
Your Name
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First Name
Last Name
Your Mobile Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Name of the person you are nominating
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First Name
Last Name
Their Mobile Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Which award are you nominating them for
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The John Hickmott Memorial Citizenship Award (18+)
The Ouyen Lions Club Junior Citizenship Award (school aged)
Is the person paid or volunteering in the role they have been nominated for?
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Volunteer
Paid worker
What is your reason for nominating this individual? How have they contributed to the community?
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Please consider the quality of information, rather than quantity.
Is there anything else you'd like to add?
Submit
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