If the organisation has previously changed its name, please state previous name(s): _______________________________________________________ What is the main focus area of the organisation? Culture/arts/zoos/museums/tourism Politics Sport Voluntarism/philanthropy Recreation Religion/spiritual Social club Service club Health including disability service International affairs Social services/welfare/self help Professional association/union Education/vocation/research Emergency services Environment Animal welfare Advocacy Other, please state: __________________________________________________ Organisation contact person Title (Mr/Ms/Mrs/Miss/ Dr/Other): First name:* Surname:* Position:* Phone:* Mobile: Email: Nominated volunteer information Which category are you nominating for?* 25–49 years 50 years or more
If the organisation has previously changed its name, please state previous name(s): _______________________________________________________ What is the main focus area of the organisation? Culture/arts/zoos/museums/tourism Sport Recreation Social club Health including disability service Social services/welfare/self help Education/vocation/research Environment Advocacy Politics Voluntarism/philanthropy Religion/spiritual Service club International affairs Professional association/union Emergency services Animal welfare Other, please state: __________________________________________________ Organisation contact person Title (Mr/Ms/Mrs/Miss/ Dr/Other): First name:* Surname:* Position:* Phone:* Mobile: Email: Nominated volunteer information Which category are you nominating for?* 25–49 years 50 years or more
Vol_ServiceAwards_NominationForm.docx