Do you know someone who makes your community a better place?

The Citizen of the Year Awards are proudly Categories: sponsored by the Department of Housing and Citizen of the Year Community Development. To be eligible, the person must be an Australian Citizen. The Citizen of the Year Awards are administered by local Councils across the Northern Territory. Young Citizen of the Year The Awards recognise individuals and organisations To be eligible, the person must be that have made a noteworthy contribution during the an Australian Citizen under 30 years of age current year, and/or given outstanding service over a on January 26, 2019. number of years, to a local community over and above normal employment duties. Community Event of the Year This is presented to the person/group who Outstanding contribution and community service has staged the most outstanding community including areas such as education, health, event during the past year. fundraising, charitable and voluntary services, business, sport, arts, the environment, or any other Who makes a difference Young sports person of the Year area that contributes to the advancement and wellbeing of a community. in your community? To be eligible, the person must be under 30 years of age on January 26, 2019. Nominate someone who makes a real difference in your community and give them the opportunity to be Nominations are now open: Volunteer of the year rewarded and recognized for their contribution. Must be an active volunteer in any activity that Citizen of the Year is freely chosen, that is a benefit to the Contact your Council to nominate for the 2019 Citizen of the Year Awards. Young Citizen of the Year community or members and is taken without Community Event of the Year financial reward Young Sports person of the Year Procedure: Volunteer of the Year

Every Council across the Northern Territory seeks nominations within their Awards are presented at Australia Day local area, with the award recipients events by Councils across the Northern typically announced at the Council’s Territory. Australia Day celebrations.

Contact your local Council for details. Nomination Form:

Nominee (the person/organization you would like to nominate) Please provide as much information as possible. Additional documents may be attached providing further information of testimonials of achievement.

Award Category: (please tick) □ CITIZEN □ YOUNG CITIZEN □ COMMUNITY EVENT □ YOUNG SPORTSPERSON □ VOLUNTEER

Name: Address: Phone: Date of Birth: Email:

Is the person being nominated an Australian citizen? □ YES □ NO

Reason for nomination. How has the person/organization contributed to the community?

Please list any other significant contributions and/or achievements:

Additional material may be attached: maximum five A4 pages, minimum font size 10 point.

Nominator (your details)

Name: Address:

Phone: Email:

I give permission for the Australia Day Council NT to submit this nomination to other recognition programs such as the Australian of the Year Awards. Please return completed form before Friday the 7th of December 2018 to: Coomalie Council ______