Australia Day Nomination Form 2025 - Community Event

This is for events held in 2024 and will be presented at the Australia Day Awards in January 2025.

Details of Community Event

Name of event *

In what region of Queanbeyan-Palerang was the event held? *

Braidwood regionBungendore regionCaptains Flat regionQueanbeyan region

Name of organisation *

Describe the nominated event *

What members of the community were included in the event? How were they included or represented? *

What aspects of the event made it particularly special for the community? *

Why are you nominating this event for an Award? *

Please include any other information to strengthen this nomination. *

Add any attachments that support your submission

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This Community Event is nominated by

Name *

Organisation (if applicable) *

Nominator Phone number *

Email Address

Nominator signature *

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Date *

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