2025 Local Creative Arts Award

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This is a preview of the Local Creative Arts Award 2025 Nomination Form form. When you’re ready to apply, click Fill Out Now to begin.
 

Local Creative Arts Award

* indicates a required field.

Important Notice

Western Downs Regional Council is collecting personal information you supply on this form in accordance with privacy principles in order to facilitate the Australia Day Awards.This information will be accessed by persons who have been authorised to do so. Some of this information may be published in local media, on Councils website and may be broadcast at the Australia Day function and may be used in future Council publications and reports for the purpose of Australia Day Awards. Your information will not be given to any other person or agency unless required by law. Your personal information is handled in accordance with theInformation Privacy Act 2009. If you provide Council with any personal information about another person, you should ensure that you are authorised to do so.

The Western Downs Regional Council Local Creative Arts Award celebrate the visionaries, leaders, innovators and creators in the arts and cultural community. Recipients of this award have provided outstanding contributions with demonstrated benefits to the community.

Local District

Please select which district the individual/community group you are nominating is located * Required
Response required.
Clear the selected value for Please select which district the individual/community group you are nominating is located
NB Nominees must reside within the Western Downs Regional Council area, or alternatively, where this is not the case, the nomination must demonstrate that a significant contribution has been made by the nominee to the Western Downs Regional Council community and that they are considered to be a part of the community.

Nominee Details (this is about the person / group being nominated)

Response required.
Clear the selected value for Nominee
NB Nominees must reside within the Western Downs Regional Council area, or alternatively, where this is not the case, the nomination must demonstrate that a significant contribution has been made by the nominee to the Western Downs Regional Council community and that they are considered to be a part of the community.
If the nominee is an individual are they an Australian Citizen? * Required
Response required.
Address Line 1, Suburb/Town, and Postcode are required. Country must be Australia 
Must be an Australian phone number. 
Must be an Australian phone number. 
Must be an email address. 

Nominee Profile

Please ensure that you answer each question fully and with as much detail as possible. The information supplied in your application will be used by the assessment panel to make a final decision. Assume that the assessment panel do not know anything about the person being nominated, so give as much information aspossible.

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