'Heart Of Australia' Nomination Form
Gold Coast Rotary invite nominations for our Australia Day event - with the support of the National Australia Day Committee.  Remember their theme - ‘Reflect. Respect. Celebrate. We’re all part of the story.’

'Heart of Australia' Awards provide employers with the opportunity through Rotary to recognise and acknowledge the efforts and contributions of an employee or volunteer who consistently achieves an overall high personal standard and work performance.
The recipient is recognised at an Awards Event on Australia Day where the employer would ideally organise a table of other staff and the recipient’s family.
Your reason for nominating the employee or volunteer must be clear and will be read out which is why we encourage you to let the awardee know so they can invite friends and family to celebrate their recognition.

Please complete and submit nomination by 7 January 2022.  Further information info@goldcoastrotary.org.au 
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Name of Organisation *
Address *
Telephone *
Email *
Name and Position of Nominator *
Nature of Business / Community Organisation *
Name of Nominee *
Email *
Role at Organisation
Outline why you believe this member of your organisation is worthy of a Heart of Australia Award. Please note your citation should be worded in a form suitable to be read out at the Awards Event. Ideal length: 80 to 150 words *
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