Citizen of the Year nomination form

 

Nominate someone in our community whose exceptional dedication, selflessness and leadership have made a profound impact in Brimbank.

We're searching for individuals who embody the spirit of community, those who have tirelessly worked to improve the lives of others, uplift our neighbourhoods and foster a sense of unity and belonging. Whether they've led initiatives, volunteered their time or been a source of inspiration to others.

To be eligible, the person must be a resident of Brimbank and an Australian citizen aged over 25 years as at May 2024.

* Indicates required field
As far as you are aware, is the nominee an Australian citizen *
To be eligible for Citizen and Young Citizen of the Year Awards, the nominee must be an Australian Citizen
Is the nominee aware of the nomination *
Please let the nominee know of their nomination.
Do you believe the nominee represents Brimbank in a positive light to others *
Please reconsider nominating this Individual. They will not be considered for the award and your nomination will be deemed invalid if you answer NO to this question.
Last updated: 25 February 2024 - 2:02pm
Print Top of the page