Camden Council’s Australia Day Award Nomination Form 1

This is your opportunity to nominate a friend, team mate, team, colleague or relative who has contributed extensively to the community.

NOMINEE DETAILS

Name (Mr / Mrs / Ms / Miss):

Address:

Organisation (if applicable):

Email Address:

Phone Number:

NOMINATOR DETAILS

Name (Mr / Mrs / Ms / Miss):

Organisation (if applicable):

Email Address:

Phone Number:

I acknowledge that the information I have provided is accurate. Signature:

Australia Day2019

AWARD NOMINATION FORM

CATEGORY SELECTION (PLEASE TICK ONE)

Camden Citizen of the Year

Camden Young Citizen of the Year

Sports Achievement Award (Individual or group)

Community Group of the Year

Arts & Cultural Award

STEP 1Read conditions of entry and category details (page 3).

STEP 2Select an appropriate category for your nomination.

STEP 3Complete the details on the nomination form.

STEP 4Include your reasoning for the nomination and attach any supporting documents.

STEP 5Send your nomination form to the Events Team, Camden Council, PO Box 183, Camden, NSW 2570

CATEGORIES AND CRITERIA

Camden Citizen of the Year Open to Camden Residents aged 18 years or over at 31 December 2018, who have made a noteworthy contribution during 2018 and/or given outstanding service to the Camden community in a non-work-related capacity over several years.

Young Citizen of the Year Open to Camden residents aged under 18 years as at 31 December 2018, who have given outstanding service and made a positive impact on part, or all the community in 2018 and/or longer.

Sports Achievement Award Recognises a committed sportsperson, sporting team, coach, volunteer or official, whose actions inspire and encourage others whilst enriching the Camden community through sport, healthy living or physical activity. This category has no age restrictions.

Community Group Award Recognises groups whose tireless work and close contact with the community encourages inclusivity and continues to make Camden an even better place to live.

Arts & Cultural Award A person or group who have made an influential or valuable contribution to the city through any art form, for example drama, visual art, music, verse, dance, cultural heritage, expression, literature, film, multimedia.

2 Camden Council’s Australia Day Award Nomination Form

REASON FOR YOUR NOMINATIONWhat to include:

How has the nominee made an outstanding contribution to the community? In what way/s is the nominee an inspirational role model?Why do you believe this person should receive an award?

Camden Council’s Australia Day Award Nomination Form 3

CONDITIONS OF ENTRY & ELIGIBILTY• Nominations must be submitted on Council’s official nomination forms or online through Council’s website.

• Nominees must be Australian citizens at the time of nomination.

• Nominees must be residents of or be associated with the Camden Local Government Area (LGA).

• Current State and Federal politicians and Councillors of the Camden LGA are not eligible for individual categories but may be nominated as part of a group for the Community Group Award.

• Previously unsuccessful nominees are eligible for nomination in the same category in subsequent years.

• Nominations will only be accepted for one (1) category per person or group; and in circumstances where people are nominated in more than one category, Council will use its discretion to select the most appropriate category. Council may also place nominees in an alternate category where appropriate.

• No awards will be made if it is considered that nominations are not of a sufficiently high standard.

• Nominations will not be accepted for individuals whose achievements are directly related to their paid employment.

• All information retained by Camden Council will be held under the State Records Act 1998.

• All information is collected in compliance with the Principles of the Privacy and Personal Information Protection Act 1998.

• Personal information obtained from the Nomination Form can be accessed by the candidate for viewing or alteration up until the time of judging on 14 December 2018.

• The decision of the Australia Day Committee is final and no correspondence will be entered into regarding decisions.

• Awards will not be granted posthumously.

• Self-nominations will not be accepted.

• Absolutely NO weight is given to the number of times a person is nominated.

THINGS TO CONSIDER WHEN NOMINATINGPlease detach nomination form and keep this section for future reference

• How has the person made an outstanding contribution to our community?

• What personal goals and objectives has the person achieved?

• Has the work by the person been undertaken on a paid or volunteer basis?

• How is the person an inspirational role model for the Camden community?

• What amount of personal sacrifice/difficulty has the person experienced whilst working towards their achievements?

4 Camden Council’s Australia Day Award Nomination Form

ADDITIONAL INFORMATION • Nominations Close: Friday 14 December 2018.

• Winners will be announced at the Australia Day Civic Awards Presentation on Saturday 26 January 2019.

• All nominees and nominators will be invited to attend the Australia Day Civic Awards presentation in Camden.

• The judging panel consists of three members, including Australia Day Committee members and the Mayor or representative of the Mayor. The judges’ decision is final and no correspondence will be entered into.

• The Winner of the Citizen of the Year category will be invited by Camden Council to attend a variety of events, private functions and facility openings in 2019 and may also be asked to prepare a speech for specific events. Persons nominated should be made aware of these potential duties.

For more information regarding Camden’s Australia Day Awards or Nomination process phone 4654 7818, email events@camden.nsw.gov.au or go to Council’s website at www.camden.nsw.gov.au