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 *

Warning message

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 *

Information message

Please let the nominee know of their nomination.
Do you believe the nominee represents Brimbank in a positive light to others *

Warning message

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