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Albury Awards Nomination Form

Nominate someone who makes you proud and help us celebrate their achievements, courage and passion.
Award Category and Area of Excellence

Please select the award category that you or the entrant would like to nominate for

Entrant or Community Group Information

Tell us about the individual or group you would like to nominate for an award

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event
work
phone
email
Valid email address is required.
location_on
Valid address is required.
Contact Details

Details of person nominating the individual or group (not applicable for entrants who are self nominating)

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Valid given name is required.
account_circle
Valid family name is required.
work
Valid phone number is required.
phone
email
Valid email address is required.
location_on
Valid address is required.
Referee Details

Details of a reference who is able to make direct comment on the contribution/service of the individual or group you are nominating

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Valid given name is required.
account_circle
Valid family name is required.
work
Valid phone number is required.
phone
email
Valid email address is required.
location_on
Valid address is required.
Entrant Details

Tell us about the individual or group. Please provide as much detail as possible. You're welcome to attach supporting material using the upload field below.

Hint: Please provide as much detail as possible and consider the selection criteria.
Hint: Please be as detailed as possible.
Hint: Please be as detailed as possible.
Entrant Approval

To be completed by the award nominee

We are committed to protecting your privacy. We will only use the information that we collect about you lawfully (in accordance with the Privacy and Personal Information Protection Act 1998 and the Health Records and Information Privacy Act 2002).

We may collect information about you for 2 reasons: firstly, to process your request and second, to respond to any queries which you may have. We will not email you in the future unless you have given us your consent.

For more information about what data we collect, why we collect it, and what we do with it refer to our privacy policy or contact us.