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Youth Recognition Award Nomination Form

Forms

Required fields are marked with an asterisk (*).
Nominee Details
Please provide the nominees contact telephone number if available to you
Please provide nominees email address if available to you
Nominee's Date of Birth
*If applicable
Contact Details - Nominator (Leave blank for self-nomination)
Enter your mobile number without spaces
Enter your mobile number without spaces
Enter your mobile number without spaces
Enter your postcode without spaces
The Awards
Award Category *
Please provide a contact number for the referee

The conditions of entry for the 2022 Youth Recognition Awards are available to view

Nomination Acknowledgement
I acknowledge that I have read and accept the conditions of entry and to the best of my knowledge all of the information provided in this nomination is correct *
Has the nominee been advised of this nomination? (Please tick if yes) *
Supporting Information
In 500 words or less, please outline and explain the achievements or contribution of the nominee. (Please note: this text may be used in printed program material and announced by the MC on the evening of the awards. Minor edits may be made for publication purposes.)
How do they/you use and show these qualities?
(Optional)