Community Person of the Year Nomination Form
Online Entry Form for Esperance NAIDOC 2021

Ensure contact details of the person you are nominating are provided as the Independent team will use these details to make contact with nominated person.

All nominee's will need to be 18 years and Over as the announcements will be made at this years NAIDOC Ball.

Please make sure you leave a detailed description of why you nominated the person in the nominee forms as they will be judged on merit by an independent team.
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Do you know an outstanding person who has helped make a difference to Aboriginal and Torres Strait Islander communities or nationally, or excelled as a leader? Then nominate them for the 2021 NAIDOC Community Person of the Year Award.
To nominate an individual for Community Person of the Year use the following selection criteria:

This person can also be an artist.
Demonstrated excellence in the nominated category
The individual’s status as an inspirational role model for Aboriginal and Torres Strait Islander peoples and the broader Australian population
Demonstrated leadership
The individual’s future goals and likely impact
Demonstrated commitment to personal/vocational/career development
Details of person being nominated
Entrants must be Aboriginal and/or Torres Strait Islander, as defined by the following:
*is of Aboriginal and/or Torres Strait Islander descent.
*identifies as Aboriginal and/or Torres Strait Islander.
*is accepted as such by the community in which he or she lives or has lived.
Nationality *
Required
Gender *
Title *
Name of Nominee *
Age (if known)
Has the nominee gone above and beyond their workplace duties for the Esperance Community? *
Required
List what the nominee has done for the Esperance Community? *
Explain how the nominee has been an inspirational role model and leader to the Aboriginal and Torres Strait Islander people?  (Minimum of 50 words) *
Has the nominee shown positive engagement with community and /or stakeholders?
Clear selection
Do you want to add anything further?
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