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Australia Day Nomination Form 2026

Home » Community Events » Australia Day Breakfast, Awards & Citizenship Ceremony » Australia Day Nomination Form 2026

Nomination Type(Required)

Citizen of the Year

Community Event of the Year

Young Citizen of the Year

Nominator Details

Please enter your details in the following fields

Name(Required)

First Last

Address(Required)

Street Address City

Phone(Required)

Email(Required)

Enter Email Confirm Email

What is your relationship to the nominee?(Required)

e.g. Family, Friend, Community Member, etc.

Nominee Details

Please enter the person/event’s contact details in the following fields

Name(Required)

First Last

Address(Required)

Street Address City

Phone(Required)

Email(Required)

Enter Email Confirm Email

Eligibility Criteria(Required)

Nominees must meet the following criteria to be eligible

Is your nominee an Australian Citizen?

Did you nominee live in the Waratah-Wynyard municipality during the time of their community contribution?

Will your nominee be 30 years of age or younger as of 26 January 2026?

Eligibility Criteria(Required)

Nominees must meet the following criteria to be eligible

Is your nominee an Australian Citizen?

Did you nominee live in the Waratah-Wynyard municipality during the time of their community contribution?

Eligibility Criteria(Required)

Nominees must meet the following criteria to be eligible

Did your nominee(s) hold their event within the Waratah-Wynyard municipality?

Did your nominee(s) NOT receive a Community Event of the Year award in the last five (5) years?

Describe how your nominee has demonstrated leadership, community involvement, positive influence, and lasting impact through their actions and achievements.(Required)

Describe how your nominated event has engaged the community, achieved positive outcomes, demonstrated vision and commitment, and created an immediate or lasting community impact.(Required)

Any other information to support this application.

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