Online Form - Volunteer Organisation of the Year

This award will be presented to a local community group/ sporting club that services the Town of Bassendean and significantly contributes to achieve partnerships within the community that build capacity, connection and sense of belonging, contributing to an empowered community.

About the Volunteer Organisation you are nominating:

Name of Group *

Name of Contact Person

Address *

Phone Number *

Email Address *

Nomination details:

How has this group serviced the Town of Bassendean and significantly contributed to achieve partnerships within the community? *

How has the organisation built capacity, connection and sense of belonging and contributed to an empowered community? *

Please provide your details:

Your Name *

Address

Street Address:

City:

State:

Post Code:

Country:

Phone number *

Email Address *

Where did you hear about these awards? *

Terms & Conditions

Thank you for taking the time to complete your nomination.

Please accept the Terms and Conditions to continue:

Terms and Conditions

Acceptance *

I have read and agree to the Terms and Conditions in the link above

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