Citizen of the Year

Nomination type*

Citizen of the Year
Young Citizen of the Year (30 years and under)
Senior Citizen of the Year (60 years and over)
Community Group of the Year

Title*

First Name*

Last Name*

Date of Birth:

Phone Number*

Email Address*

Street Address*

Postal Address (if different from Street Address)

Is the nominee an Australia citizen?*:

Yes
No

Does the nominee live and work in the Newcastle LGA?*:

Yes
No

Is the nominee aware they have been nominated?*

Yes
No

In 25 words or less, please tell us why your nominee deserves a Citizen of the Year Award*

Please tell us more about your nominee in 400 words or less, describing the benefits your nominee's contributions have brought to the community*

Please list your nominee's achievements or contributions over the past year, with consideration to leadership, innovation, creativity, and excellence. You must list at least three achievements, up to five achievements.

Achievement #1*

Achievement #2*

Achievement #3*

Achievement #4

Achievement #5

Additional documents (e.g., letters of commendation, awards, or press articles) may be uploaded to further illustrate your nominee's achievements.

Upload file 1

Upload file 2

Upload file 3

Title*

First Name*

Last Name*

Organisation (if relevant)

Relationship to Nominee*

Phone Number*

Email*

Street Address*

Postal Address (if different from Street Address)

Declaration by nominator*

I declare that the information about the nominee and their achievements contained in this nomination is to my knowledge true and accurate.

Nomination type
Nomination type*	Citizen of the Year Young Citizen of the Year (30 years and under) Senior Citizen of the Year (60 years and over) Community Group of the Year
Nominee details



Title*
First Name*
Last Name*
Date of Birth:
Phone Number*
Email Address*
Street Address*
Postal Address (if different from Street Address)
Is the nominee an Australia citizen?*:	Yes No
Does the nominee live and work in the Newcastle LGA?*:	Yes No
Is the nominee aware they have been nominated?*	Yes No
Nominee merit
In 25 words or less, please tell us why your nominee deserves a Citizen of the Year Award*
Please tell us more about your nominee in 400 words or less, describing the benefits your nominee's contributions have brought to the community*
Nominee achievements
	Please list your nominee's achievements or contributions over the past year, with consideration to leadership, innovation, creativity, and excellence. You must list at least three achievements, up to five achievements.
Achievement #1*
Achievement #2*
Achievement #3*
Achievement #4
Achievement #5
Optional attachments
	Additional documents (e.g., letters of commendation, awards, or press articles) may be uploaded to further illustrate your nominee's achievements.
Upload file 1
Upload file 2
Upload file 3
Declaration - Nominating person
Title*
First Name*
Last Name*
Organisation (if relevant)
Relationship to Nominee*
Phone Number*
Email*
Street Address*
Postal Address (if different from Street Address)
Declaration by nominator*	I declare that the information about the nominee and their achievements contained in this nomination is to my knowledge true and accurate.

Citizen of the Year

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