NT Volunteer of the Year Awards 2019 Nomination Form
PLEASE ENSURE YOU HAVE READ THE NOMINATION KIT PRIOR TO COMPLETING THIS NOMINATION FORM

Defining Regions: Top End = 300km radius of Darwin including Katherine. Central Australia = Alice Springs, north to Daly Waters, including Tennant Creek and Elliot.

** NT Volunteer Certificate of Appreciation. The NT Volunteer Certificate of Appreciation will be presented to volunteers in recognition of their volunteering activity and commitment in the previous year. Each organisation may nominate ONE volunteer only in 2019. Please fill out contact details for the nominee and organisation only. Selection criteria is not required

Award Categories
PLEASE TICK ONLY ONE BOX BELOW
Please choose from one of the following categories for TOP END nominations:
OR; Please choose from one of the following categories for CENTRAL AUSTRALIA nominations:
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