Western Australian Community Achievement Awards

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Nominations are now closed, but get in early for 2024!

Simply complete the details below and we will get in contact with the individual/group/organisation/business you would like to nominate and have them complete the official online nomination form so that the nomination can go forward to judging.

Terms & Conditions
Nominees must be residing in regional or rural Western Australia for a minimum of 2 years (unless a permanent resident currently working, studying or pursuing their profession elsewhere), or the nomination activity must be specific to regional or rural Western Australia.

*Regional refers to approximately 100km from Perth CBD.

Your Details

Full Name *

Company Name

Email Address *

Phone Number *

Are you nominating an individual or group/business/organisation *

Is your nominee from Regional Western Australia? Please note that all categories are specific to regional nominees, Metro nominees are ineligible unfortunately.

Nominee Details

Nominee Company/Group - If Applicable

Nominee Full Name *

Nominee Email Address *

Nominee Phone Number *

Category you wish to nominate them into *

Economic Development Award- Department of Primary Industries and Regional Development

Regional Safety Award - Insurance Commission of Western Australia

Customer Service Award - Konica Minolta

Development of Northern Regional WA Award - Rinehart

Community Group of the Year Award - Woolworths

Teaching Excellence Award - Curtin University, School of Education

Local Legend Award - Awards Australia

Mental Health and Wellbeing Award - Awards Australia Charitable Foundation

Sustainable Disability Employment Award - APM

Required

How did you come across this form?

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms