Australia Day Awards - Citizen of the Year

This is a preview of the Citizen of the Year 2025 form. When you’re ready to apply, click Fill Out Now to begin.

Details

* indicates a required field.

Nominations are called for individuals who have:

shown outstanding achievement and leadership in the local community
been a role model / inspiration for community members
demonstrated achievements in community activities, academic , sporting, personal, cultural, environment and / or social responsibility
selfless commitment, application and dedication, involvement in activities that promote the welfare and wellbeing in the community over the previous 12 months and/or over a number of years
provided the contribution on a voluntary basis or exceeded the normal requirements of the nominee’s paid work

Nominee Name *

Title	First name	Last name

Date of Birth - if known

Must be a date.

Phone Number *

Must be an Australian phone number.

Email *

Must be an email address.

Residential Address *

Address Line 1, Suburb/Town, State/Province, Postcode, and Country are required.

Postal Address *

Address Line 1, Suburb/Town, State/Province, Postcode, and Country are required.

How do you know the nominee *

Nominator Name *

Title	First name	Last name

Address *

Address Line 1, Suburb/Town, State/Province, Postcode, and Country are required.

Phone Number *

Must be an Australian phone number.

Email *

Must be an email address.