City of Wodonga

UV

RED Carpet Youth Awards application form

Initially you or the person you nominate will be judged on this form, where you/they may then be shortlisted and interviewed. Please provide as much relevant information as possible and any supporting documentation you think appropriate with this application.

Information on the categories is available in the information package.

For people being nominated for more than one category you are required to fill in one application form per category.

Nominations close on Friday, June 2, 2017 at 5pm.

Applicant Details

Name of nominee
  Date of birth
  Phone - home
  Phone - mobile
  Address
  Email

Referees

(Cannot be related to the applicantand may be contacted to follow up on information provided
  1. Name
  Phone
  Self-nominated Nominated by someone else
  (the applicant must consent to being nominated)
  If nominated by someone else:
  Name of nominator
  Phone
  Email
  Relationship to the applicant ie teacher, family friend etc
 

Category

(Please tick the category that corresponds):
  Individual Community Service Award
Sport and Recreation Volunteer Award
Young Carer Award
Apprenticeship/Traineeship Award
Endurance/Persistence Award
Advocacy and Action Award
Performing Arts Award
Visual Arts and Media Award

Application questions

  Why are you nominating this person/yourself for this award?
  List any highlights or personal achievements in the chosen category that relate to the award criteria:
  Please provide any evidence you believe will aid with the judging, for example, awards or certificates:
  Upload supporting documents:
  How did you hear about the awards? (Please tick ALL relevant boxes):
  Newspaper
Media Launch
School
Work
Word of mouth
Previous RED Carpet Awards
Website
Facebook
Instagram
Other

  The nominee is aware of being nominated and agrees to their nomination?
  Yes No