Need to complete your nomination offline? You can download the forms below:

• Citizen and Young Citizen of the Year
• Community Event or Group of the Year

What category are you nominating for?
1. Please provide the details of the person being nominated
2. I declare to the best of my knowledge; the person I am nominating is:
2. I declare to the best of my knowledge; the person I am nominating is:
2. I declare to the best of your knowledge; the organisation I am nominating is:
3. Please indicate which of the following areas the nominee has positively influenced in Palmerston
3. Which category does your nomination fall within?
Unlimited number of files can be uploaded to this field.
100 MB limit.
Allowed types: gif jpg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 ogg wav bz2 dmg gz jar rar sit svg tar zip.
100 MB limit per file. The accumulated size of all files in this form cannot exceed 200 MB.
4. Is this nomination for an event?

If yes, please provide the below details

One file only.
100 MB limit.
Allowed types: gif jpg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 ogg wav bz2 dmg gz jar rar sit svg tar zip.
100 MB limit per file. The accumulated size of all files in this form cannot exceed 200 MB.
9. Please provide your details as the nominator
Sign above