Online Form - Lifetime Contribution to Volunteering

This award will be presented in honour of a senior individual (65+ years) who has made an exemplary life-long contribution to volunteering and who, through their volunteering, has contributed to the betterment of the Town of Bassendean community.

About the person you are nominating:

Please tick the boxes below to show that your nomination meets all the following criteria:*

Reason for nomination:

In this section, please describe clearly and to the point what the nominee has done and why you think they should be recognised. Tell us what you know and what you think is noteworthy about your nominee’s service and achievements.

Please provide your details:


Terms & Conditions

Thank you for taking the time to complete your nomination.

Please accept the Terms and Conditions to continue:

Terms and Conditions


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