Children and Youth Awards

First Name

Last Name

Age

Contact number

School, work or sporting club

Email Address

Suburb

Name of nominator

Nominator Contact number

Nominator Email address

Relationship to nominated person

Please pick the category you are applying for

Please describe why your nominee deserves to win this award (250 words max)

References

Please list any achievements or experiences related to your nominated category which support your application

Upload supporting documents

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Upload a photo of young person being nominated (optional)

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1. collecting your personal information as contained in the form; and

2. using the information for the purposes outlined in the form.

Providing your information is voluntary. Should you choose not to provide the information, Council is unable to process your application/request.

You may access any of your personal information that Council holds upon request.

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