ACT Honour Walk

NOMINATIONFORM

Whatisthe ACT HonourWalk?

TheACTHonourWalkrecognisesindividualsorgroupsfromacrossallcategoriesofendeavourthathavemadesignificantandsustainedpastcontributionstotheACT.ACTHonour WalkrecipientsarethenpubliclyacknowledgedwithaplaqueintheirhonourontheACTHonourWalk.

WhatistheaimoftheACTHonourWalk?

TheawardaimstorecognisetheimmensecontributionmadebythosewhohavehelpedtoshapethecityofCanberraasweknowittoday.ThisawardalsocomplementstheCanberraCitizenoftheYearAwardthatcelebratescurrentand/orrecentcontributionstotheCanberracommunity.

Whocanbenominated?

AnypersonorgroupwhohasbeenaleadingplayerinshapingthecityofCanberra,orwhohasmadeasignificantcontributiontotheCanberracommunityoverasustainedperiodoftime,iseligibleforrecognitionontheACTHonourWalk.NomineesdonothavetoberesidentsoftheACTandthehonourmaybeawardedposthumously.PreferencewillbegiventonomineeswhohavenotalreadybeensignificantlymemorialisedinanexistingACTpublicmemorial.

HowcanapersonorgroupbenominatedforrecognitionontheACTHonourWalk?

Nominationscanbesubmittedbyanyoneincludingindividuals,businesses,organisationsandcommunitygroups.

Thenominatorshouldcompleteanominationformdetailingthenominee’spersonaldetailsandprovideasummarydescribingtheextentof,orimpact,ofthenominee’spastcontributionthatisspecifictotheACT.Someoftheareaspreviousrecipientshavebeenrecognisedforinclude(butarenotlimitedto)communityservice,culture,sport,research,justice,education,military,artsandbusiness.Thenominatorshouldalsoprovidethedetailsofalivingnextofkinofthenominee,ifknown,aswellasdetailsontworefereeswhomaybecontactedregardingthisnomination.

Unsuccessfulnominationsmaybereconsideredinfutureyears.

Whatistheselectionprocess?

TheChiefMinisterwillmakethefinaldecisionontheidentityandnumberofrecipientstobehonouredeachyear.

Whenistheclosingdatefornominations?

Nominationscanbereceivedatanytimethroughouttheyear.

If you require further information, or additional nomination forms, please call the Protocol, Honours and Ceremonial Events Officer on 6205 3031.

Completednominationformsshouldbesentto:

Protocol, Honours and Ceremonial Events Officer

Chief Minister, Treasury and Economic Development Directorate

GPO Box 158

Canberra ACT 2601

Email:

Nominationformscanalsobedownloadedfrom

ACT Honour Walk

NOMINATIONFORM

Detailsoftheperson/groupbeingnominated

Name

Position/Organisation(optional)

BusinessAddress

PersonalAddress

Telephone(ah)(bh)(m)

Email

DateofBirth

Areaofsignificantcontribution

Isthenomineeawareofthenomination?(pleasecircle)YesNo

Isthenomineedeceased?(pleasecircle)YesNo

Detailsofthenominator

Name

Address

Telephone(ah)

(bh)

(m)

Email

SignatureDate

Detailsofalivingnextofkinofthenominee,ifknown

Name

Address

Telephone(ah)(bh)(m)

Email

ACT Honour Walk

NOMINATIONFORM

Summaryofreasonsfornomination(anattachmentmaybeprovidedifthereisinsufficientspace)

Referees

Name

Address

Telephone(ah)(bh)(m)

Name

Address

Telephone(ah)(bh)(m)