Elder 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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The Elder Award recognises respected and inspirational Aboriginal and Torres Strait Islander role models and leaders.
Please use the following selection criteria to nominate an individual for the Elder Awards:

Exemplifies the values important to Aboriginal and Torres Strait Islander peoples

Demonstrated commitment and contribution to benefit Indigenous people over the long term, and demonstrated achievement in this area

The individual is an inspirational leader and role model

Demonstrated involvement in the Indigenous community at the local, regional and/or national levels
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)
Explain how the nominee is an inspirational leader and role model to Aboriginal and Torres Strait Islander people? (minimum of 50 words) *
List how the nominee has been involved in the Esperance Community. *
How has the nominee made an impact on yourself, your family or the Esperance Community? *
Do you want to add anything further?
Submit
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