Citizen of the Year nomination form

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Thank you for your interest in nominating for the 2025 Citizen of the Year Award!

Nominate someone in our community whose exceptional dedication, selflessness and leadership have made a profound impact in Brimbank.

We're searching for individuals who embody the spirit of community, those who have tirelessly worked to improve the lives of others, uplift our neighbourhoods and foster a sense of unity and belonging. Whether they've led initiatives, volunteered their time or been a source of inspiration to others.

To be eligible, the person must be a resident of Brimbank and an Australian citizen over 25 years as at May 2025.

Before you begin, make sure you have the following information on hand, as the form cannot be saved for later completion:

  • Contact details for the individual, group, or organisation you are nominating.
  • Contact details for your nomination supporter or referee, along with a 200-word support statement.
  • Any relevant attachments, such as media coverage, photographs, references, etc., to support your nomination.

If you would prefer to complete the form at a later time, you can download a copy of the nomination questions.

Please remember that nominations must be submitted online by completing all sections of the form below. Email submissions will not be accepted. 

We look forward to your submission!

As far as you are aware, is the nominee an Australian citizen *

Warning message

To be eligible, the person must be a resident of Brimbank and an Australian citizen aged over 25 years as at May 2025
Is the nominee aware of the nomination *

Information message

Please ensure you have consent from the nominee.
Do you believe the nominees work aligns with Brimbank’s community Vision 2040 *

Warning message

Please reconsider nominating this Individual. They will not be considered for the award and your nomination will be deemed invalid if you answer NO to this question.
Last updated: 30 January 2025 - 2:05pm