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Citizen of the Year Nomination Form 2024

Citizen of the Year Nomination Form 2024

The search is now on for the next Bathurst Citizen of the Year.

The Local Citizen of the Year Award honours a deserving member of the community and recognises their outstanding contribution to the local community within the past two years. The award is presented annually as part of the Australia Day awards ceremony.

The Citizen of the Year Awards have been a part of the Australia Day in NSW program since 2005, with Local Government Areas (LGAs) embracing the program to celebrate outstanding citizens across the state. The Australia Day Council of NSW provides certificates for presentation to the Citizen of the Year with the local Citizen of the Year Award administered by Bathurst Regional Council.

The Citizen of the Year is encouraged to be involved in a number of Council initiatives and activities.

Nominate an outstanding Bathurst Citizen and thank them for their contribution to the City in which we live!

Please note there are conditions of entry and eligibility criteria that apply to the award.

Council looks forward to your application and thank you for being involved.

Personal Details:

Please ensure accurate and complete details are provided for both nominee and nominator

Nominee's Details

(Person being nominated)

Full Name (Nominees details)

* required*

Maximum 255 characters

0/255

Address

* required*

Maximum 255 characters

0/255

Home Phone

* required*

Maximum 255 characters

0/255

Mobile

* required*

Maximum 255 characters

0/255

* required*

Maximum 255 characters

0/255

Nominator's Details

Full Name

* required*

Maximum 255 characters

0/255

Address

* required*

Maximum 255 characters

0/255

8. Home Phone

Maximum 255 characters

0/255

Mobile

* required*

Maximum 255 characters

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10.

* required*

Maximum 255 characters

0/255

11.

Relationship to Nominee

* required*

Maximum 255 characters

0/255

12.

Have the services/contributions been made in the Bathurst Local Government Area?

* required*

Yes

13.

Does the nominee live in the Bathurst Regional Local Government Area?

* required*

Yes

14.

Is the nominee an Australian Citizen?

* required*

Yes

Summary of Achievements

15.

Why do you believe this nominee should be considered for the Citizen of the Year award (200-word limit):

Please include details of involvement, achievement and contributions made including any outstanding achievements over the past year or number of years to the Bathurst Local Government Area.

* required*

16.

Did the nominee receive a taxable income for their services in a related area?

* required*

Yes

17.

What impact or contribution did the actions of the nominee have on the community? (150-word limit)

* required*

18.

How is the nominee an inspirational role model for their community? (150-word limit)

* required*

19.

Additional information - Please use this space for any additional information you feel may assist in the judging of your nominee e.g administration positions held, awards received.

20.

Please upload any any supporting documentation.

Referees/Persons who can verify contributions or service of the nominee:

21.

Referee 1. Name:

* required*

Maximum 255 characters

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22.

Referee 1. Phone:

* required*

Maximum 255 characters

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23.

Referee 2. Name:

Maximum 255 characters

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24.

Referee 2. Phone:

Maximum 255 characters

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25.

Is the nominee aware of their nomination?

* required*

Yes

26.

Where did you hear about this award?

* required*

Internet

Facebook

Newspaper

Radio

Word of mouth

Other

27.

Date

* required*

Maximum 255 characters

0/255

Disclaimer

Please ensure that all required fields are completed and all contact details are filled out for both the person being nominated, and for the nominator. Where insufficient information has been provided, the nomination may be considered ineligible.

The nominator agrees that all information provided may be fact checked by nominee (if successful). Information provided may be used and made public if nominee is successful.

Submissions should:

* Address the assessment criteria by outlining the nominee's background, achievements and reasons for nomination.

* Include supporting documents such as character reference/s and photograph/s and reasons for nomination.

Eligibility Criteria

The eligibility criteria for the Citizen of the Year award are as follows:

Nominees must be an Australian Citizen at the time of nomination.

Nominees must have resided or worked in the Bathurst Local Government Area within the past 2 years at the time of the nomination. This includes work of a voluntary nature.

Nominees must not be a sitting local, state or federal politician, or have immediately left office.

Nominees must be of good fame and character.

Conditions of Entry

The following conditions of entry apply to Citizen of the Year nominations:

Nominations are for an individual only.

Nominations must be made on the official nomination form and submitted online, via email or mail to Council with any supporting documents.

Nominations must be received by Council by the closing date. Late applications will not be accepted. Nominators can make submissions for more than one individual, but a separate form must be used for each nomination.

Individuals cannot self-nominate.

Awards will not be granted posthumously.

All nominees will be provided with the opportunity to accept their nomination.

No weight is given to the number of times a person is nominated.

Information provided in the nomination submission may be included in the event program and media release. This information could be a summary of the information provided and not all information may be included.

Nominees cannot have been a previous Citizen of the Year winner. Previous nominees and Citizens of the Month are eligible.

Assessment process and timeline

Bathurst Citizen of the Year nominations are assessed by a panel, with the assessment process based on the information made available in these nomination forms.

Nominations Close: Friday 1 November 2024.

The Citizen of the Year award will be announced and presented as part of the Australia Day awards ceremony, on Australia Day.

If successful, the nominee will be asked to attend the Australia Day Awards.