Nominee details

Information about the person you are nominating for the award.
 
 
 
 
 
 
  

Examples:

  • High school
  • TAFE
  • University
  • other training.

 

 
A condition of entry is that you have permission of the nominee.

 

Nomination details

Only one category can be chosen - please read the selection criteria before nominating.





 
List recent achievements and any additional reasons for your nominations. Your description should be less than 250 words.
 
 
 

 

 

Referee

Please provided details of a person who can provide a reference to the achievements of the young person nominated.
 
 
  
 

Your details

We need your details as the person making this nomination.
 
 
 
 
 
  

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Terms and conditions

 
The personal information being collected on this form is for council purposes which will be solely used for this primary purpose or directly related purposes.

In addition, the informant understands that they may apply to council for access and/or amendment of the information. This information will not be disclosed except as required by law.

By submitting this nomination you acknowledge that your photo may be taken if at one of the Geelong Youth Awards events.