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Tenterfield Shire Council - Australia Day Awards 2020 - Nomination Form - Citizen/Young Citizen/Sportsperson/Young Sportsperson/Emergency Services Volunteer of the Year

Each year the people of Tenterfield Shire are invited to nominate fellow citizens for the NSW Local Australia Day Awards.
Email address *
Nomination for *
Nomination for (Given Names) *
Your answer
Nomination for (Last Name) *
Your answer
Address for Nominated Person *
Your answer
Contact Number *
Your answer
Date of Birth *
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DD
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Occupation/Hobbies/Sports *
Your answer
Personal History (Include brief details of the candidate's personal background) *
Your answer
Post Public Involvement (Include here details of previous involvement in organisations - Including positions held - also past achievements and contributions directly attributable to the candidate - alone or with others) *
Your answer
Present Public Involvement (Include here details of current involvement in organisations - Including positions held - as well as any activities or initiatives currently being undertaken by the candidate either alone or with others) *
Your answer
Outstanding Contributions during 2018 (note here those activities during the last 12 months for which you feel the candidate deserves special recognition.) *
Your answer
Additional Information (Please use this space for any additional information you fell might assist in the judging of your candidate e.g. difficulties of a personal or family kind which candidate has surmounted.) *
Your answer
Details of Nominator - Contact Name *
Your answer
Organisation (if relevant)
Your answer
Address *
Your answer
Contact Phone Number *
Your answer
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