Welcome
Community Service Awards 2026/27
Nomination Form
PERSON BEING NOMINATED | |
First Name |
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Middle Name |
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Last Name |
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| Name of Organisation |
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Type of Voluntary Community Service
| Examples: SES, RFS, Marine Rescue, Health Services, Education services, Charity; Environmental services, Community development, Arts and Culture, Other: (please describe)
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Contact Details | |
Phone |
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WHY HAVE YOU NOMINATED THIS PERSON? | |
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PERSON NOMINATING | |
First Name |
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Last Name |
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Phone |
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The person nominating consents to Wahroonga Rotary contacting you and the person nominated to obtain additional information to support the application.
Email this completed form to Community Chair, Sue Lennox at awards@wahroongarotary.org
Applications close on 20 December 2026. Awards will be presented in April 2027 at a Rotary Awards Presentation Evening.
Note – If space is limited on this form please add additional documentation to suit.