Young Citizen of the Year nomination form

To be eligible, the person must be a resident of Brimbank and an Australian citizen aged between 16 and 25 years as at May 2025. Please ensure that the nominee is aware of the nomination.

1.  Leadership: How has the nominee demonstrated exceptional leadership qualities in the community? (Minimum 200 words required)

2.  Contribution: Describe the outstanding contribution the nominee has made to the community. Give detailed examples of their contributions and organisations, projects or people that have benefited from their initiatives. (Minimum 200 words required)

3.  Character: What special skills, talents or attributes does the nominee have that makes them exceptional? Why are they worthy of this award? (Minimum 200 words required)

4.  How has the nominee's involvement transformed and enhanced Brimbank community vision for the future? 

(Minimum 200 words required)

5.  Any other relevant information that highlight's the nominee's involvement and/or significant impact in the community?

(Minimum 200 words required)

6.  As a referee for the nominee, please describe in 200 - 300 words what makes this nominee stand out in this category? 

Information to support your nomination

Feel free to attach additional materials such as photos, newspaper articles or other documentation to support this nomination. You can upload a maximum of 4 files at 10MB each. Allowed file types: jpg, png, doc, docx, pdf.

Details of secondary nominator (referee)

A secondary nominator (referee) is required to support this nomination and must be external to the organisation or group and not be an immediate family member of the club members.