2022 City of Ballarat Youth Awards

Nomination Form

Nominee Details

Nominee Name

Nominee Postal Address

Nominee Email (where known)

Nominee Phone

Is this person aware that you have nominated them?

Tell us why you are nominating this person or group and why they deserve this award.

To see nomination categories click here

Attachments (optional)

Limited to 50MB. Only image files, video files, audio files, Microsoft Word Documents and PDFs are accepted.

Nominator Details

Your Full Name

Your Postal Address

Your Email

Your Phone

I would like this young person to be automatically nominated for the 2023 City of Ballarat Young Citizen of the Year Award.

I, the nominator, acknowledge and accept that Youth Services may need to contact me in relation to this nomination.

Collection Statement

Your personal information is being collected by the City of Ballarat for the purpose of processing your nomination for the 2022 City of Ballarat Youth Awards. Your information will be stored in Council’s Customer Database and used to identify you when communicating with Council and for the delivery of services and information. For further information on how your personal information is handled, refer to Council’s Privacy Policy at www.ballarat.vic.gov.au/privacy

I have read and accept the collection statement.

City of Ballarat — Youth Awards 2022

Nomination Form

Nominee Details

Leadership in the Arts

Group Project

Nominator Details