Changemaker Form - JNF Australia

Changemaker Awards Nomination Form 2025

Are you nominating yourself or somebody else?
- Myself
- Somebody Else
Nominees details
Name of Nominee*
First Last
Mobile/Phone of Nominee*
Email of Nominee*
Address of Nominee*
Suburb*
Post Code*
State*
Date of Birth of Nominee*

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Name of Nominator*
First Last
Mobile/Phone of Nominator*
Email of Nominator*
Age Group*
Referee details
Name*
First Last
Email*
Mobile*
Catagory*
- Young Volunteers for under 18s
- Young Adults Volunteers from 18 - 36 years old
- Joshua Levi Young Professional Award
Please describe why you are nominating this person (between 250 and 500 words)*
Describe the nominee - list the organisations they volunteer/work for and their impact on their community
What is your relation to Nominee?*
Please upload pic of Nominee (upload a nominee headshot in jpg or png)
Accepted file types: jpg, jpeg, png, gif.
Comments
This field is for validation purposes and should be left unchanged.