2027 Wyndham Citizen and Young Citizen of the Year Award Nomination Form

Privacy Collection Statement

Your personal information and that of your nominee and referees is being collected by Wyndham City Council for the purpose of considering nominations for the Wyndham Citizen and Young Citizen of the Year Award 2027.  By providing this personal information, you confirm that you have the consent of the nominee and referees for their information to be collected, used, stored and disclosed for this purpose as specified in the Wyndham Citizen and Young Citizen of the Year Award 2027 Terms and Conditions. Your personal information will be handled in accordance with the Privacy and Data Protection Act 2014. Further information on how Council handles your personal information is available in Council’s Privacy Policy.

I have read and understood the Privacy Statement mentioned above.

Your details

Name

Contact Number

Email Address

Who are you nominating?

Note: you can only nominate someone else. Self-nominations will not be accepted.

Nominee’s name:

Nominee’s date of birth:

Nominee’s residential address:

Nominee’s contact number:

Nominee's Email Address

Is this nominee an Australian citizen?

Note: nominees must be an Australian citizen to be eligible for Citizen or Young Citizen of the Year

Yes

Nominees must be Australian citizens.

Does the nominee identify as an Aboriginal or Torres Strait Islander?

Yes

Not sure

Which award category are you nominating them for? (select one) Note: to be eligible for nomination, the nominee must be a Wyndham resident and an Australian citizen

Citizen of the Year

Note: nominees must be 26 years of age or above as at 26 January 2027 to be eligible for this award .

Young Citizen of the Year

Note: nominees must be between 16 and 25 years of age as at 26 January 2027 to be eligible for this award. If the nominee is aged under 18, you must have their parent or legal guardian’s consent to submit the nomination and evidence of this consent must be provided to Council on request.

What is your relationship to this nominee?

Nomination details

Describe the nominee’s contributions to and achievements in the Wyndham community (max 400 words). You may like to consider the criteria at www.wyndham.vic.gov.au/citizenawards These criteria make reference to areas such as community impact, positive role model, outstanding commitment and overcomes challenges.

Describe how the Wyndham community has been enhanced by or benefitted from the nominee’s contributions (max 400 words)

Referees

Please provide the details of two people who can support your nomination and who have had oversight of or exposure to the nominee’s contribution in the community:

Referee 1

Name:

Contact number:

Email address:

What is the referee’s relationship to the nominee?

Referee 2

Name:

Contact number:

Email address:

What is the referee’s relationship to the nominee?

Declaration

I confirm that the information I have provided in this nomination is true and correct.

I acknowledge and agree that this nomination is subject to the Wyndham 2027 Citizen and Young Citizen of the Year Awards Terms and Conditions, which I confirm that I have read and understood.

WYNDHAM 2027 CITIZEN AND YOUNG CITIZEN OF THE YEAR AWARDS TERMS AND CONDITIONS

By submitting a nomination to the Wyndham 2027 Citizen and Young Citizen of the Year Award (‘awards’), you agree to be bound by these terms and conditions.

These terms and conditions should be read with any relevant award information, including your nomination form and any information published by Council regarding the awards.

NOMINATIONS

1.1 To nominate a person for the awards, you must be over 18 years of age and must submit a properly completed nomination form via Council’s website between 9:00am on 23 August 2026 and 11:59pm on 4 October 2026. Nominations which are incomplete or do not comply with these terms and conditions are not valid and will not be accepted.

1.2 You must obtain the consent of the person you are nominating for the awards prior to submitting a nomination. If the nominee is aged under 18 years of age, you must have the consent of the nominee’s parent or legal guardian to submit the nomination. Evidence of this consent must be provided to Council on request.

1.3 You must have the consent of your referees to submit their contact details with your nomination. Evidence of this consent must be provided to Council on request.

1.4 You agree to immediately notify Council of any changes to your nomination, including the request to withdraw your nomination, by emailing citizenawards@wyndham.vic.gov.au
1.5 Where Council receives more than one valid nomination for the same nominee, those nominations will be combined into one single dossier that will be assessed as one nomination.
ELIGIBILITY

2.1 To be eligible for an award the nominee must be:

(a) an Australian citizen;
(b) aged over 16 years of age;
(c) a Wyndham resident.

2.2 To be eligible for the Young Citizen of the Year Award, the nominee must be aged between 16 and 25 as at 26 January 2026.

2.3 To be eligible for the Citizen of the Year Award, the nominee must be aged 26 years or above as at 26 January 2026.

2.4 Council staff, Councillors, the award judges (Ciara Placentino, Stella Beckly, Peter Frangoulis) and their immediate family members are ineligible to submit a nomination or be nominated for an award.

2.5 Previous winners of Wyndham’s Citizen of the Year Awards are ineligible to be nominated for an award.
JUDGING

3.1 The judging panel will assess all nominations between 9 October 2026 and 18 October 2026 in accordance with the assessment criteria published on Council’s website. Up to 6 nominees will be shortlisted for each award category. Shortlisted nominees will be contacted by Council no later than 19 November 2025.

3.2 Shortlisted nominees will be required to accept their nomination and may be asked to participate in an interview between 18 November 2026 and 5 December 2026. Interviews may be conducted online (e.g. via Zoom or Microsoft Teams) if they cannot be conducted in person. Shortlisted nominees who are aged over 18 will be required to undergo a national police check at Council’s cost.

3.3 Subject to a satisfactory police check and interview (if conducted), the judging panel will contact the referees in each shortlisted nominee’s nomination form to undertake a reference check.

3.4 On completion of the police and reference checks and interviews (if conducted), the judging panel will determine the winners of each award category.

3.5 Nominees will be notified of the outcome of their nomination no later than 5:00pm on 11 December 2026.

3.6 The winner of each award category will be announced at the Australia Day in Wyndham on 26 January 2027, and may subsequently be announced on Council’s websites and social media pages.

3.7 Each winner will receive a trophy, pin, certificate and flowers, valued at approximately $600. Award winners may receive invitations to Council events in 2027, such as Citizenship Ceremonies, as determined appropriate by Council.
CANCELLATION

4.1 Council may disqualify a nomination where Council reasonably believes that these terms and conditions have been breached, or that false, inaccurate or misleading information has been provided in the nomination or otherwise.

4.2 Notwithstanding any other provision of these terms and conditions, Council expressly reserves the right to cancel, terminate, modify or suspend the awards and/or amend these terms and conditions at any time.
FEEDBACK

You acknowledge that the feedback you provide in your nomination form will be de-identified and used by Council to evaluate its service delivery.
GENERAL

6.1 Nothing in these terms and conditions or in the conduct of the parties creates a relationship of agency, partnership, employer and employee or joint venture.

6.2 Council accepts no responsibility for late, lost, incomplete, invalid or corrupt nominations.

6.3 Council’s decisions are final and no correspondence will be entered into.