Citizenship Awards nomination form - individual

In This Section

* indicates required field.

Categories* (You may tick more than one box if appropriate.)

Details of the person being nominated

(only for the Youth Award)

(if under 18 years)

You may wish to include:

  • - who benefits from the work they do, and how
  • - the time commitment involved
  • - length of time doing the work
  • - details of individual input
  • - whether they are paid for their work
  • - any other relevant background information.

We encourage you to submit supporting documentation with your nomination. This can include newspaper articles, personal references, etc.

Please provide details of another person who may be contacted for further information about the nominee.

Details of person nominating