Australia Day Award 2025 Nomination Form

Please complete this short form to nominate someone for an award. Refer to the Conditions of Entry below.

Conditions of Entry

1. Nominees must be a resident of the Whitsunday Regional Council at the time of the nomination.

2. Nominations will not be accepted if the individual or group has won an award the previous year.

3. All nominations must be received on the official nomination form. Additional information can be supplied.

4. Contact details of nominators may be forwarded on to local media.

5. Citizen of the Year and Senior Sports Award nominees must be 26 years of age or older as at January 26 2025.

6. Young Citizen of the Year and Young Sports Award nominees must be aged 14-25 years as at January 26 2025.

7. A person who is deemed to have acted in a manner contrary to Council values will not be eligible.

Award Nominee Details

The following section applies to the details of the person who is being nominated for an award.

Name / Organisation

* required

Maximum 255 characters

0/255

Date of Birth

Select year

Address

* required

Maximum 255 characters

0/255

Phone number

* required

Maximum 255 characters

0/255

Email address

* required

Please select which category you wish to nominate for.

* required

Select option

View more detail on each category on the project page.

Please consider the category's criteria when nominating. If you would like to provide a summary of achievements or supporting evidence, please enter the details here or upload the file/s below.

How has the nominee made an outstanding contribution to the local community? What are the achievements of the nominee? How is the nominee an inspirational role model for the community? What sacrifices or challenges has the nominee experienced in their endeavours?

Summary of achievement/supporting evidence.

Nominator Details

The following section applies to the details of the person who is nominating a person for an award.

Name / Organisation

* required

Maximum 255 characters

0/255

10.

Email address

* required

11.

Phone number

* required

Maximum 255 characters

0/255

12.

Address

Maximum 255 characters

0/255