Nomination Form for 2026 Wannon Volunteer Awards

Please note: nominations close 11.59pm on Sunday 4 October 2026

Youth (under 24 years)

Member of Parliament

Emergency Management

Inspiring Individual

Thank you for completing this nomination form. My office will be in contact with you to advise if this nomination is successful.

Kind regards,
Dan

Nomination Form for 2026 Wannon Volunteer Awards

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* 1. Your details (nominator) (Required.)

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* 2. Your Email Address (Required.)

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* 3. Your Phone Number (Required.)

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* 4. Your address (Required.)

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* 5. Are you happy to be identified as the nominator? (Required.)

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* 6. Nominee's Full Name (Required.)

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* 7. Nominee's Email Address (Required.)

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* 8. Nominee's Phone Number (Required.)

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* 9. Nominee's Address (Required.)

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* 10. Nominee's Position/Title (if relevant)

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* 11. Nominee's Organisation (if relevant)

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* 12. Has this nominee/s been a previous recipient of these awards? (to the best of your knowledge)

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* 13. Category for Nomination (Required.)

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* 14. Reason for Nomination (in approx. 100 words, describe why you have nominated this person/team/organisation) (Required.)

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* 15. Key achievements of the nominee (eg. fundraising figure, roles held, volunteering history) (Required.)

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* 16. Years of service (Required.)

1. Your details (nominator) (Required.)

2. Your Email Address (Required.)

3. Your Phone Number (Required.)

4. Your address (Required.)

5. Are you happy to be identified as the nominator? (Required.)

6. Nominee's Full Name (Required.)

7. Nominee's Email Address (Required.)

8. Nominee's Phone Number (Required.)

9. Nominee's Address (Required.)

10. Nominee's Position/Title (if relevant)

11. Nominee's Organisation (if relevant)

12. Has this nominee/s been a previous recipient of these awards? (to the best of your knowledge)

13. Category for Nomination (Required.)

14. Reason for Nomination (in approx. 100 words, describe why you have nominated this person/team/organisation) (Required.)

15. Key achievements of the nominee (eg. fundraising figure, roles held, volunteering history) (Required.)

16. Years of service (Required.)