Australia Day Nomination Form 2026 - Community Organisation of the Year

Section 1 - Nominee Details

Name of organisation (please ensure correct spelling) *

Main activity/Purpose *

ABN if applicable

Organisation street address

Street address

Suburb/locality

State

Postcode

Organisation phone number

Organisation email address *

Awards are given for the following towns and their surrounding areas. Please indicate which location they are nominated for: *

Braidwood regionBungendore regionCaptains Flat regionQueanbeyan region

Section 2- Nominator and Seconder Details

This community organisation is nominated by

Nominator name (first and last name) *

Organisation (if applicable)

Nominator street address

Street address

Suburb/locality

State

Postcode

Nominator phone number *

Email address *

What is the nominator's relationship to the organisation? *

Nominator signature *

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Date *

Please provide details of a seconder for this nomination who we can contact to verify the nomination.

Seconder name (first and last name) *

Seconder organisation (if applicable)

Seconder phone number *

Seconder email address *

What is the seconder's relationship to the event? *

Section 3 - Reasons for Nomination

Please refer to eligibility in Section 4 to ensure nominee eligibility.

To make your nomination as strong as possible, we suggest you include more information than you think. Consider these points.

How does the nominee model integrity, respect, innovation and continuous improvement in the community?
What qualities, acts of compassion, generosity, bravery, and consistency make this organisation a deserving recipient of this award?

Describe the nominated organisation and why it should be considered for the award. *Summarise the organisation’s purpose, key activities, objectives, and achievements, including whether it operates on a non-profit basis, and explain why it is being nominated for this award. Your response should highlight the most important information you would like the selection committee to know, including the organisation’s impact, any other relevant initiatives, partnerships, or community involvement, and any distinguishing features that make it deserving of recognition. Please note that this information may be used as part of the selection process and for promotional purposes.

Please use some examples to demonstrate the reach of the organisation in the community and why it is particularly beneficial in the last 12 months. *Minimum 100 words. Consider examples that may include how many people in the community benefited and how, which members were involved/included, the level of reach, and the impact on the community (e.g., social, economic, etc.). Why are you nominating this year?

Please provide some background information about your nominee.Minimum 100 words. Consider including previous awards received, history and length of service, and whether the work/service was paid or voluntary, etc.

Add any attachments that support your submission

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Recommended but not essential - Max 4 attachments. Any relevant documentation e.g. media coverage, photos, articles, testimonials, etc.

Section 4 - Eligibility

A community organisation/event that has won an Australia Day Award in the past is not eligible to be considered for nomination again. The organisation must have operated in the nominated Queanbeyan-Palerang region.

I declare that the information contained in this nomination is, to my knowledge, true and accurate.

*

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