Volunteer Sundowner Nomination Form

Nomination category

Nominee name*

Nominee phone number*

Nominee address

Street address:*

City:*

State:*

Post code:*

Country:*

Nominee email*

How many years has the nominee been volunteering in the community?*

How has the nominee contributed to the community?*

Has the nominee's contribution been recognised elsewhere?

YesNo

Please provide any additional comments or details as to why the nominee deserves to be recognised

Please upload any additional evidence that substantiates the nomination

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Please check if the nominee satisfies the following criteria

Nominee contributes directly to the Vic Park community
Nominee is not a Town employee
Nominee is not a member of state, federal or local government

Name of the person nominating*

Email of the person nominating*

Phone number of the person nominating*

Do you wish to remain anonymous to the nominee?

YesNo

Do you confirm that you have reviewed your submission and that the information you have provided is accurate?

Yes

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