Nominee Details
(The person or event you'd like to nominate)
We encourage you to include supporting documentation with your nomination. Supporting documents can include personal references, newspaper articles, etc. Your aim is for the selection panel to understand why you think your nominee should be selected. Note: all documentation will be retained by George Town Council.
Nominator / Referee Details
Please provide details of a referee who can be contacted for further information regarding this nomination or attach a letter of support from a referee who is able to make direct comment on the contribution/service of the person or event nominated.
Before submitting your nomination please ensure you have undertaken the following:
Privacy Statement
Completion of this form may require the disclosure of personal information. The intended recipients of this information are officers of the George Town Council in order to advance the purposes of this form and to carry out Council business. The Personal Information Protection Act 2004 and Council's Privacy Policy regulate the use of this information, which will not be disclosed to any other party, except with your permission or if required or authorised by law. You may make application to access or amend personal information held by Council by contacting the Council on 6382 8800. Should you not provide the information sought, Council will not be able to process this form.
A copy of this form submission will be emailed to the Nominator email address
