Australia Day Awards - Nomination Form

Nominations for the 2020 Australia Day Awards open on 1 September 2019.

For more information, contact Council on 03 5832 9700.

Nominations close on 1 December 2019.

Please note: nominations for Murchison close on 21 November 2019, due to an external judging process.

Printable form

Online form

* Fields marked with an asterisk are required.

You can select more than one.

Nominee (the person you would like to nominate)

Tell us about your nominee

Nominator (your details)

Referee

(other person who can be contacted for further information if required)