We are Brimbank Community Engagement nomination form

 

Nominate those who have made exceptional contributions to building a united and inclusive community. This award recognises those who demonstrate exceptional commitment to fostering connections, promoting inclusivity, and empowering others to participate in community life. Whether through organising events, facilitating dialogue or implementing initiatives that bring people together, we're looking for shining examples of community engagement.

Now is the time to honour those who dedicate themselves to building stronger, more connected neighbourhoods in Brimbank. Let's celebrate their outstanding efforts in making our community a better place for all!

* Indicates required field
Which category best describes who you are nominating *
Please provide nominee contact information *
eg. 0414 678 345 or 03 9249 4000
eg. 0414 678 345 or 03 9249 4000
If you are nominating a business or group, please specify your relationship to the group *
(include first and last name)
Is the nominee aware of the nomination?

Information message

Please ensure you let them know of their nomination.
Last updated: 26 February 2024 - 5:00pm