Online Form - Shire of Mundaring Citizenship Awards 2023

Shire of Mundaring is pleased to celebrate the significant and outstanding contribution of community members by accepting nominations for the Australia Day Citizenship Awards 2023. 

Nomination categories for the awards are as follows:

Rising Star (under 25) - young people (individual or group) who have made a significant contribution to their local community..

Inspirational Volunteer - individual/group who through their volunteering role have made an outstanding contribution to the local community.

Access Mundaring - Recognises an individual or group making a difference to create a more accessible and inclusive Shire of Mundaring.

Long Service - an individual or group who have been community champions and continuously served their community for in excess of ten years.

Nominations are invited for individuals, businesses or community groups who have made significant contribution to the local community. The Shire of Mundaring Citizenship Award recognises and celebrates significant contributions to community life and active citizenship. A panel will consider the nominations and select a recipient from each category. The recipients will be invited to a morning event on Australia Day, Friday 26 January 2024, where they will be presented with the Shire of Mundaring Citizenship Award.  

Shire of Mundaring Citizenship Award

The Shire of Mundaring Citizenship Award recognises and celebrates significant contributions to community life and active citizenship. Residents can nominate people who have made a noteworthy contribution during the current year, or given outstanding service to the local community over a number of years through active involvement.

Eligibility Criteria for Citizenship Award

  • Nominees must not have been a recipient of a Shire of Mundaring Citizenship Award in the past five years
  • Sitting members of State, Federal and Local Government are not eligible 
  • The Nominee must be an Australian Citizen 
  • The Nominee must be a resident of Shire of Mundaring. 

Citizenship Awards will be presented at an event to be held on Australia Day, Friday 26 January 2024.

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Nominator Details


Nominee Details


Referee Details

This person must be able to directly comment on the nominee’s contribution to the community.


Reasons for Nomination

Please address one or more of the selection criteria below.

If you have any relevant pictures, videos or documents to support the person's nomination, please upload them below. Ensure you have permission for any photos or videos.

Parental permission is required for persons under 18.

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Maximum size of ALL attachments is 976.56 MB

Nominations close 4pm Friday 27 October 2023.
Please contact the PA to Director Strategic & Community Services on 9290 6604 or email pacs@mundaring.wa.gov.au with any questions. 

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