WAOTYA Nomination 2022 - Celebrate WA

HOW TO NOMINATE

The online process is very simple and will take just a few minutes. Nominators may make a self-nomination, or nominate on behalf of someone else providing they give their permission. You may submit multiple nominations for different nominees. Before you begin to fill in the form, please have the following information prepared:

Contact details and permission from your nominee
The categories (listed above) you wish to nominate them for
Up to 250 words summarising how your nominee has achieved excellence in their category or categories
Up to 250 words summarising how your nominee has contributed to our community
Referee’s details, should you wish to supply a referee for your nomination

Nominate online now, or, alternatively, email celebratewa@celebratewa.com.au to request a nomination form.

Nominations must be received by Friday, 11 March 2022.

If you require any assistance with this form, please contact Celebrate WA on (08) 9324 5000 or celebratewa@celebratewa.com.au

Your email*

NOMINEE'S DETAILS

Please provide the details of the person being nominated. If this is a self-nomination, please enter your personal details.

Nominee title*

Nominee first name*

Nominee surname*

Nominee post-nominal

Honour post-nominals, such as AM, OAM or other Awards (as recognised by the Australian Government It's An Honour system).

Nominee email*

Nominee phone*

*

Please check this box to confirm that the nominee is aware of this nomination and has given their consent to be involved in the Award judging process.

Is the nominee an Indigenous Australian?*

Yes
No
Unsure

Is this a self-nomination?*

Yes
No

NOMINATOR'S DETAILS

Do not complete this section if this if you are making a self-nomination.

Nominator title

Nominator first name

Nominator surname

Nominator post-nominal

Honour post-nominals, such as AM, OAM or other Awards (as recognised by the Australian Government It's An Honour system).

Nominator phone

AWARD CATEGORIES

Please select an Award category that best fits your nominee. You may select more than one category.

Award Category

Aboriginal
Arts & Culture
Business
Community
Professions
Sport
Youth

DESCRIPTION OF ACHIEVEMENTS

In no more than 250 words, outline how the nominee has achieved excellence in the nominated category/categories.*

How has the nominee demonstrated excellence in their nominated category/categories? How has the nominee demonstrated leadership, innovation and/or creativity in their field? How does the nominee stand out from their peers?

In no more than 250 words, outline how the nominee has contributed to the community within the nominated category.*

How has the nominee given back to their field to the benefit of others? How has the nominee demonstrated a contribution to their community? Use examples to demonstrate the nominee's reach and impact on the Western Australian, national or international community.

CONFIRMATION OF ELIGIBILITY

Please view the conditions of entry and eligibility criteria here: http://www.celebratewa.com.au/conditions-of-entry/

Untitled

I confirm the nominee meets the conditions of entry and eligibility criteria.

OPTIONAL: REFEREE'S DETAILS

If you would like to submit the details of a referee who supports this nomination, please enter the details below.

Referee title

Referee first name

Referee surname

Referee email

Referee phone

Confirmation Email