Amy Large Volunteer of the Year nomination form

Find out more about the Amy Large Volunteer Awards

Nominations close on 11 April 2023.

Council staff can help you submit a nomination in English. If you need our help, please call us using the FREE Translating and Interpreting Service(TIS) on 131 450. Ask the TIS interpreter to call Sarah on 9392 5813

Has your nominee given their permission for you to disclose this information as part of their entry to the Amy Large Volunteer Awards?

You must obtain permission from your nominee to submit this form.

I am nominating... 

If you are nominating a group for the 'Amy Large Volunteer Volunteer Team' Award, then please provide contact information for one representative of this group in this form.

About your nominee 

About the organisation your nominee volunteers with 

About your nominee's contribution 

Provide an outline of the nominee's volunteer work (what the nominee does) including the length of time volunteering for the organisation and what is special about this work.

Detail the benefits the nominee has achieved in their volunteering and/or what they achieve through their volunteering.

Share any other important aspects of the nominee's volunteer work  including obstacles overcome; innovation; initiative; dedication, broader benefits of the volunteer role, etc.

Add a referee

To make a nomination in any category, we require you to provide a referee.

Referring our Amy Large Volunteer Award nominees to the NSW Volunteer Awards

Does your nominee give permission for us to disclose their information as part of an entry to the NSW Volunteer Awards?* - required
If yes, please provide this additional information to determine which NSW Volunteer of the Year Awards regional ceremony your nominee will be included in.

Thank you for making time to celebrate this volunteer or volunteer team. We will be in touch soon with an invitation to the Community Award celebration.

Please give us some details about yourself.

Certification 

I certify that, to the best of my knowledge, the statements in this nomination are true.

I acknowledge that Inner West Council treats all information provided by an individual in support of a nomination in accordance with the Privacy and Personal Information Protection Act 1998.

I acknowledge that the NSW Government Information (Public Access) Act 2009 applies to documents in possession of Inner West Council. Under some circumstances, a copy of this nomination form may be released in response to a request made in accordance with the Act, subject to the deletion of exempt material.

I acknowledge Inner West Council may vary the program at its sole discretion.
Can we include you on our database and contact you regarding the community Awards in the future?* - required
Mandatory field(s) marked with *

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Page last updated: 13 Apr 2023