Community Achievement Awards for Regional NSW & the ACT

To put someone forward for the 2021 Awards, simply complete the details below and we will get in contact with the individual/group/organisation to complete the official nomination form.

Terms and Conditions
Nominees must be residing in regional or rural NSW or the ACT for a minimum of 2 years (unless a permanent resident currently working, studying or pursuing your profession elsewhere), or the nomination activity must be specific to regional or rural NSW or the ACT.
Your Details
Would you like to remain anonymous to the nominee?
Full Name *
Company Name
Email Address *
Phone Number *
Nominee Details
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 *
How did you come across this form? *
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