Online Form - 2024 - Youth Awards Nomination Form

Award Categories

Please select the award category. 

Award Categories*

Nominee Details

Please provide the following details for the award nominee.

Does the nominee know they are being nominated?*

Nominator Details

Please include your details to enable us to contact you if further information is required regarding your nomination. 

Nomination Details

Click below to view the selection criteria for each award category.

Youth Awards 2024 Selection Criteria 

Please include the nominee’s community involvement, educational or employment achievements, the project or initiative being delivered and/or any other noteworthy achievements or community contributions.

Additional documents to support your nomination are encouraged.

Click below to view the terms and conditions

Youth Awards 2024 Terms and Conditions 

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Referee Details

Do you have a another person willing to support this nomination?

Please provide their details below:

Please Note

A City officer may contact the nominee, nominator or nomination supporters to discuss this nomination.

Terms, Conditions and Selection Criteria 

Terms and conditions and full selection criteria for the Kalgoorlie-Boulder Youth Awards can be downloaded from, or by contacting the City of Kalgoorlie-Boulder.

Submitting your Nomination

Once you have submitted your nomination via webform, you will receive an email confirmation. If you do not receive an email confirmation, please contact the City of Kalgoorlie-Boulder's Youth Team. 

If you are submitting a hard copy nomination form, please return to 

City of Kalgoorlie-Boulder

Attn: Youth Team:
City of Kalgoorlie-Boulder Administration Building

577 Hannan Street, Kalgoorlie


PO Box 2042, Boulder WA 6432

Telephone: (08) 9021 9600

Fax: (08) 9021 6113


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