CHRC Australia Day Awards Nomination Form 2027

CHRC Australia Day Awards Nomination Form 2027

Use this form to nominate someone for the Central Highlands Australia Day Awards 2027. For any queries, please contact council on 1300 242 686.
Australia Day Awards Nominations Terms and Conditions

Selection criteria and how to prepare a nomination

When completing the nomination form, it is important to address selection criteria.
1. Significant contribution – Give evidence that the nominee/ event has made a significant contribution to their community.
2. Inspirational role model – Give evidence that the nominee has outstanding personal attributes and is an inspirational role model for their community.
3. Demonstrated excellence in their field
  1. Provide specific examples of how the nominee has gone above and beyond what could be reasonably expected of someone in a similar situation.
  2. Include a list of appointments/ positions/ academic or sport or other achievements and memberships.
4. Community Event of the Year nominations only: Contribution to development of regional economy and social and cultural life.
  1. Provide data to substantiate the claims of economic, social and cultural contribution. This might include participant numbers, organisations involved, and revenue generated.
The judging panel will also give consideration to the following in assessing and comparing nominations against the above criteria:
1. Personal, academic and professional achievements.
2. Contribution in the relevant field – how has the nominee ‘put back’ into their field to benefit others.
3. Demonstrated leadership, innovation and creativity.
4. Personal interests and community involvement.
5. Contribution to development of regional community and or/ economy.
6. Degree of difficulty of the achievements and sacrifices made.
7. Future goals and likely impact.
8. Previous awards and recognitions.
9. Voluntary work beyond paid employment.
10. Nature and length of activity or service.
11. Achievements as an individual or as part of a group or organisation.
Eligibility criteria
1. Nominees must reside within the local government boundary of Central Highlands Regional Council. Community events must be held within the local government boundary of Central Highlands Regional Council.
2. Nominees can not have won an award in the same category in the last three consecutive years.
3. Nominees must be within the accepted age range of the award.
4. An individual can be nominated in more than one category, but a separate form must be completed.
How are nominations assessed?

The Australia Day Awards judging panel assesses the nominations based on the selection criteria. The panel consists of councillors, council representatives and community members reflecting each of the award areas. Read more in the Australia Day Awards Judging Panel Terms of Reference.

When are nominations considered?

Nominations for the Australia Day Awards are open until 30 November in the year before the awards. All award nominees will be notified via contact details provided on the nomination form and receive an invitation to attend the award presentation in your local area. A list of nominees may be published before the 26 January.
Declaration

First we need to know about you!

Your information will not be disclosed to the nominated person.
Your Name

First NameLast Name
Your E-Mail Address
example@example.com
Your Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Next, we'll ask you about your chosen nominee

Who are you nominating for an award?

We will need as much contact information as possible so that we can ensure they come to an award ceremony.
Nominee's Name

First NameLast Name
Nominee's position or title
E.g. 'CEO' or 'retired' or 'accountant'
Nominee's business or organisation
E.g. 'Central Highlands Regional Council'
Nominee's year of birth
This is especially important if you are nominating a child, so that we can ensure they are placed in the correct category.
Nominee's E-Mail Address
example@example.com
Nominee's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Nominee's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Now we can get to the fun stuff...

What event are you nominating for an award?
Nominee's Name

First NameLast Name
Name of Event
Event Organiser/Organisation
Nominee's E-Mail Address
example@example.com
Nominee's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Nominee's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Now we can get to the fun stuff...

Why are you nominating this person for an award?
Please provide as much information as you can and address the selection criteria which can be found on our website. Make sure to mention:
- In what role(s) or area(s) has the nominee excelled
- Specific examples of how they have gone above and beyond
- A list of their personal, academic and professional achievements or recognitions
- A list of any positions, appointments or memberships they have held
- Their personal attributes
- How the person/event/organisation has:
  - made an outstanding contribution to the community (social, cultural, economic, etc.)
  - inspired the community
- Why the person’s/event’s/organisation’s contributions should be recognised with an Australia Day Award?
Please type your answer below:

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Do you have any supporting documents or photos of this person?

Please upload any supporting documents or photos of the nominated person here.
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Why are you nominating this event for the Community Event of the Year award?
Please provide as much information as you can and address the selection criteria which can be found on our website. Make sure to mention:
- How has this event contributed to the development of the regional economy?
- How has this event contributed to social and cultural life in the Central Highlands?
- Provide data to substantiate such as participant numbers, organisations involved, and revenue generated.
Please type your answer below:

0/0
Do you have any supporting documents or photos of the event?

Please upload any supporting documents or photos of the event here.
Cancelof

That's it!

Now hit submit, and your nomination will be in!
How did you hear about the CHRC Australia Day Awards? blanks
Should be Empty:

CHRC Australia Day Awards Nomination Form 2027

Australia Day Awards Nominations Terms and Conditions

Selection criteria and how to prepare a nomination

Eligibility criteria

How are nominations assessed?

When are nominations considered?

First we need to know about you!

Next, we'll ask you about your chosen nominee

Who are you nominating for an award?

Now we can get to the fun stuff...

What event are you nominating for an award?

Now we can get to the fun stuff...

Why are you nominating this person for an award?

Why are you nominating this event for the Community Event of the Year award?

That's it!