Australia Day Awards - Lifetime Contribution

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

Details

* indicates a required field.

Award Description

Nominations are called for individuals who have demonstrated - 
 Outstanding achievement and leadership in the local community
 Has been a role model / inspiration to the community.
 Selfless commitment, application and dedication, involvement in activities that promote the welfare and wellbeing of the community over an extended period of time in excess of twenty (20) years.
 Has provided the contribution on a voluntary basis or exceeded the normal requirements of the nominee’s paid work.

Nominee Details (Person nominated to receive award)

Must be a date. 
Must be an Australian phone number. 
Must be an email address. 
Address Line 1, Suburb/Town, State/Province, Postcode, and Country are required. 
Address Line 1, Suburb/Town, State/Province, Postcode, and Country are required. 

Nominator Details (Your details)

Address Line 1, Suburb/Town, State/Province, Postcode, and Country are required. 
Must be an Australian phone number. 
Must be an email address.