2018 Hawkesbury Australia Day - Nomination Form

About the Awards:

The Hawkesbury Australia Day Awards acknowledge outstanding citizens of the Hawkesbury. Several of the awards categories recognise long term commitment and significant one-off contributions to the Hawkesbury.

Nominations:

Nominations are invited for individuals and community groups who address the selection criteria of one or more of the nine categories listed below. Nomination forms should provide as much details as possible to assist with the judging process. Nominations must address the applicable category criteria listed below.

All nominees must meet the following essential criteria to be considered

  • must be residents of the Hawkesbury or non-residents must have significantly contributed to the Hawkesbury community.
  • have not previously received the award.

Nominations close on 5pm Friday, 10 November 2017.

Unsuccessful nominations can be resubmitted in subsequent years.

Nominators automatically go in the running to win one of five $100 Coles/Myer gift cards, with a limit of one prize per person. Winners will notified after nominations close in November.

Award Presentation:

Nominee's, nominators and their guests are invited to attend Council's Australia Day Award Ceremony held on Australia Day – Friday, 26 January 2018. Awards will be presented by the Mayor of Hawkesbury, Councillor Mary Lyons-Buckett and Council's Australia Day Ambassador.

Invitations will be issued by Council in early January with full details of the event.

Please select the category you wish to nominate for:

Note: Council reserves the right to place nominees in an alternative category if considered more appropriate.
Select Category
  • Criteria: Awarded to a person who has contributed significantly to the Hawkesbury creating long-term benefit for the Hawkesbury community as a whole over a number of years. Demonstrated selflessness, commitment and involvement in activities in the Hawkesbury. Contributions made by the nominee would be on a voluntary basis and not part of a paid role. Nominees must be 26 years of age or over at 26 January the year the award will be presented.
  • Criteria: Awarded to a young person, 25 years of age and under, at 26 January the year the award will be presented, who has contributed significantly to the Hawkesbury creating a short or long-term benefit for the Hawkesbury community as a whole over a number of years. Demonstrated selflessness, commitment and involvement in activities in the Hawkesbury. Contributions made by the nominee would be on a voluntary basis and not part of a paid role.
  • Criteria: Awarded to an individual that has shown outstanding dedication and contribution to one or more specific areas of the Hawkesbury through either voluntary services, expertise or community leadership that has led to the betterment of the quality of life of others. This service will be short-term in nature and will have occurred in the preceding year of the awards. This award may also take into account acts of compassion, generosity and bravery.
  • Criteria: Awarded to an individual for their outstanding contributions to the Hawkesbury community in a voluntary capacity.
  • Criteria: Awarded to a voluntary service or community group for their outstanding contribution to the wellbeing of the Hawkesbury community. Demonstrated commitment and delivery of service to improve the lives and opportunities for community members.
  • Criteria: Awarded to an individual or group that has contributed significantly to the Hawkesbury's community arts development.
  • Criteria: Awarded to an individual or group that has contributed significantly to the Hawkesbury's cultural development.
  • Criteria: Awarded to an individual or group for their outstanding contribution and dedication to protect and enhance Hawkesbury's natural environment.
  • Criteria: This is a posthumous (five years) award. Awarded in recognition of a resident or group who contributed significantly to the Hawkesbury community.

Details of individual being nominated

Title
DD-MM-YYYY (if known)
(if different from above)
If nominating a community group, please complete the following details:
Best Contact
If different from above

Details of nominee's contributions

Please answer the following questions with as much detail as possible to enable Council's Civic and Citizenship Committee to consider the full merits of the application.
(600 words maximum)
(600 words maximum)
(600 words maximum)

Your Details

Title

Declaration

I declare that the information I have provided is true and correct to the best of my knowledge.

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