2019 Youth Showcase - Community Achievement Nomination Form

The Youth Showcase 2019 is a new initiative developed by the City of Greater Dandenong to celebrate the outstanding academic, personal and community achievements of local young people aged 12-25 years. The City of Greater Dandenong is calling for the nomination of students and young people whose positive contributions warrant public recognition and reward.

There are three showcase categories, as outlined below, in which to nominate.


SHOWCASE CATEGORIES AND CRITERIA


1. CHALLENGE AND CHANGE
This category recognises young people who have overcome adversity to demonstrate personal growth or the achievement of their goals.
 
 
2. COMMUNITY CITIZENSHIP
This category recognises young people who have demonstrated leadership in their community through supporting others and making a positive contribution in their community.


3. ACADEMIC ACHIEVEMENT- Nominations to be received direct from schools
This category recognises young people who have displayed outstanding academic achievement and have received an ATAR score of more than 90 in the 2018 academic year.

 

 


ELIGIBILITY CRITERIA
 
-Nominee currently lives, works or studies within the City of Greater Dandenong (or has within the last 12 months
 
-Nominee is aged between 12-25 years.

-Nominee must consent to the use of their personal information by the City of Greater Dandenong

-Nominee agrees to have a summary of their nomination information and consent to the use of their image at the Youth Showcase event
 



For more information or to request a paper based copy of this form please contact:

Lauren Eudey – Youth Development & Community Engagement Officer
 
Youth and Family Services
Email: Lauren.eudey@cgd.vic.gov.au
Phone: 9793 2155


 

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* 1. Nominator Details (Your name or leave blank for self nomination)

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* 2. Name of Nominee

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* 3. Occupation (if relevant)

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* 4. Date of Birth:

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* 5. Address

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* 6. Phone Number:

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* 7. Email Address:

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* 8. Does the nominee have a current connection with the City of Greater Dandenong? (or a connection within the last 12 months)

Please select all that apply

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* 9. Which Showcase category are you nominating for?

Please select one category only.

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* 10. Is the nominee aware of this nomination?

Referee Details

Please provide contact details of two people who can verify the young person's achievements and can endorse this information.

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* 11. Referee #1

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* 12. Referee #2

Tell us more about the nominee's achievements, remember please provide as much detail as possible!

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* 13. Why are you nominating this young person? Please provide reasons and examples demonstrating  their passion and commitment with regards to their achievements in the chosen showcase category.

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* 14. Please list any personal achievements that the nominee has accomplished.
What drove them to reach these achievements?

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* 15. What contributions has the nominee made to their community?
How have others benefited from these contributions?

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* 16. Is there any other information you feel may be relevant to this nomination? (optional)

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