Victorian Regional Achievement and Community Awards
Please feel free to complete this form for the upcoming 2019 Awards.
Simply complete the details below and we will get in contact with the individual/group/business next year and have them complete the questions when nominations open.
Would you like to remain anonymous to the nominee?
Please note: we require your details for our records, but if you select 'Yes' your details will not be visible to the nominee.
Are you nominating an individual or business/group/organisation?
Nominee Company/Group - If Applicable
Nominee Full Name
Nominee Email Address
Nominee Phone Number
Category you wish to nominate them into
Prime Super Agricultural Innovation Award
DELWP Diversity and Inclusion Award
Regional Development Victoria Business Achievement Award
Parks Victoria Environmental Sustainability Award
Prime Super Employer Excellence in Aged Care Award
Regional Development Victoria Leadership and Innovation Award
Ricoh Australia Customer Service Award
Life Activities Clubs Victoria Senior Achievement Award
Awards Australia Community Group Award
How did you come across this form?
Word of mouth
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