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Civic Awards 2025 - Nomination Form

Nominations for 2025 Civic Awards are now open and will close at 5pm on Friday 30 May 2025.

How to compile your nomination: 

  • Download and read the Eligibility and Conditions of Entry
  • Explain the achievement/s, the background and reasons for the nomination
  • Provide any further relevant information as attachments, this may include newspaper or magazine articles about the Nominee and their achievements
  • List any awards which may be relevant
  • You must include a written submission with this nomination form - written submission should be around 500 words, maximum 2000 words. 

Submit Your Nomination

Categories
Categories
Please tick the appropriate box to indicate the category. Individuals can be nominated for more than one category if eligible.
Nomination
Nominee

Person you are nominating for this award

Organisation or group nominee
Nominator

Your name and details

Referee

Please provide the name of someone who is familiar with the achievements of the nominee(s) who can act as a referee

Supporting Documents

You must include a written submission with this nomination along with other supporting documents which you can attach below.

Written Submission should be between 500 - 2000 words.


One file only.
3 MB limit.
Allowed types: pdf, doc, docx.

For example: newspaper articles, photographs 


One file only.
10 MB limit.
Allowed types: pdf, doc, docx, jpg, jepg, png.

For example: newspaper articles, photographs 


One file only.
10 MB limit.
Allowed types: pdf, doc, docx, jpg, jepg, png.

For example: newspaper articles, photographs 


Unlimited number of files can be uploaded to this field.
10 MB limit.
Allowed types: pdf, jpg, jpeg, png.

Disclaimer

The personal information requested on this form is necessary to contact nominators and nominees and to make arrangements as necessary for the Civic Award event. This information will be used solely by Council for that /those primary purpose(s) or directly related purposes. The intended recipients of the information are Councillors and Council officers. Council may disclose the information to law enforcement agencies, courts and other organisations authorised to collect it.  Individuals have a right to seek access to their personal information and make corrections by phoning 9262 6333 and asking for the Governance Unit. You may view Council’s Privacy Policy on our website www.whitehorse.vic.gov.au or obtain a copy from any of the Council offices.

Select the checkbox to confirm this is a valid submission.

Eligibility and Conditions of Entry

Download