Citizen of the Year Nomination Form - Australia Day 2018 Question Title * 1. Nominee Details (the person being nominated for an award) First Name Surname Address Suburb Postcode Email Address: Phone Number: Question Title * 2. Award you are nominating this person for Citizen of the Year Young Citizen of the Year Sports Citizen of the Year Arts and Culture Citizen of the Year Question Title * 3. Reason for nomination Question Title * 4. Details of the nominator (person nominating for the award) First Name Surname Address Suburb Postcode Email Address: Phone Number: Done