2024 North Shore Community Service Award

2024 North Shore Community Services Award nomination Form.

Please complete all sections.

Please provide the details of who you are nominating below.

Nominee First Name

Nominee Last Name

Nominee Email

Nominee Address

Nominee Suburb

Nominee State

Nominee Postcode

Please provide your contact details.

First Name

Last Name

Address

Suburb

State

Postcode

State reasons why you have nominated this person.

Word limit (500 words).

What achievements or contributions has the nominee made to the North Shore community?

Word limit(550 words)

Declaration by the nominator.

I declare to the best of my knowledge that the information provided is true and correct.

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