Melton Shire Council
2013 Community Achievement Awards
As part of the annual Australia Day celebrations, Melton Shire Council recognises local groups
and individuals who have made an outstanding contribution to the Melton Shire community
through the Community Achievement Awards.
Nominations are sought for:
 Citizen of the Year
 Youth Citizen of the Year (under 25)
 Community Group / Project of the Year
Nominations can be submitted by completing the attached form. When answering the questions,
the responses should be based on meeting the selection and eligibility criteria. If you require
assistance completing the form, contact Council’s Events and Culture Coordinator on
9747 7200.
When submitting an application, the use of supporting documentation is encouraged; this can
include personal references, portfolios, or details of work etc. Please provide photocopies of any
supporting documentation that you provide, as Melton Shire Council will keep all the information
sent with applications.
Community Achievement Awards Selection Criteria
An independent panel will review all nominations, looking for nominees that reflect the values of
the award as outlined below:
 Commitment to improving community access, participation and involvement.
 Contribution to the Melton Shire community.
 Fostering community partnerships and connections.
 Demonstration of community leadership.
Eligibility
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Citizen Award nominees must be Melton Shire residents.
Community groups and projects must be based in the Shire of Melton.
Projects nominated for Community Project of the Year must have been completed between
the 1st January 2012 and 23rd November 2012.
Contributions made by nominee, must have either been done on voluntary basis or exceed
the normal requirements of the person’s paid work.
Recipients of the Awards (or proxy) must attend the Australia Day presentation of these
Awards.
Unsuccessful nominees can re-nominate in subsequent years.
Citizen of the Year and Youth Citizen of the Year (under 25):
This award recognises an individual who has made an outstanding contribution to the Melton
Shire community, making it a better place to live. The Selection Panel will use the following
criteria to select the Citizen of the Year:
 Demonstrated contribution to the community.
 Involvement in activities, which promote community welfare and well being / have community
benefits.
 Provides an inspirational positive role model and/or shows leadership skills.
Melton Shire Council
2013 Community Achievement Awards
Community Group / Community Project of the Year:
Awarded to a community group (group consisting of four or more people) recognising the value
of their service to the community or to a program or project (inc capital works) that has benefits
for the wider community. The project should demonstrate innovation and excellence with a high
level of public participation.
Community Group / Project of the Year will be selected on the following criteria:
 Who was involved in the project / group and what outcomes were achieved?
 How does the group / project make a difference in the community?
 What service or benefits does the group /project provide to the community?
 How does the group / project reflect the values (selection criteria) of the Community
Achievement Awards?
Announcements
Award winners will be contacted mid December 2012 with Awards officially presented to
recipients at the Australia Day Celebrations on Saturday 26th January 2013. Recipients (or
proxy) must attend these awards to be eligible.
All nominations will be acknowledged at the Australia Day Celebrations. Winning nominations
details will be used for publicity purposes. All supporting documentation will be kept confidential
and used to assist the Selection Panel to consider the merits of nominations.
Nominations close 5pm Friday 7 December 2012
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Melton Shire Council
2013 Community Achievement Awards
2013 COMMUNITY ACHIEVEMENT AWARDS NOMINATION FORM
Category: Please tick
Citizen of the Year
Youth Citizen of the Year (under 25)
Community Group / Project of the Year
Citizen / Group / Project Details (please print clearly)
Group / Organisation
Project Name:
Project Date / Location:
Title
First Name:
Surname:
(H/M)
WK)
Address:
Contact No:
No. years living / operating in Melton Shire:
It is important that the Citizen / group agrees to being nominated and must sign this form to
indicate their approval as a nominator.
Signature of the Citizen / group:
Nominator
Title
First Name:
Surname:
Organisation represented (if any):
Address:
Contact Number:
(H/M)
(WK)
Signature:
Referee (optional – can be contacted for further information)
Title
First Name:
Surname:
Organisation represented (if any):
Contact Number:
(H/M)
(WK)
COMPLETED FORMS DUE BY 5.00PM FRIDAY 7 DECEMBER 2012
RETURN ENVELOPE MARKED CONFIDENTIAL:
Mail
Events Officer
Community Achievement Awards
Melton Shire Council
PO Box 21
MELTON 3337
(OR)
In Person
Events Officer
Community Achievement Awards
Melton Shire Council
232 High Street
MELTON
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Melton Shire Council
2013 Community Achievement Awards
Citizen Award & Community Group Nominations Only
Area of Achievement (in what areas has the nominee / group excelled?)
Sporting
Arts / Events
Fundraising
Community Health
Environmental
Charity work
Promote well being
Education
Leadership
Community development
Fosters cultural diversity
Social support
Other
Tell us about your nominee (person or group) Describe the community activities they
have done that support this application. When answering this question consider:
 How do they make a difference in the community?
 Do they contribute to the well being of an individual or the broader community?
 How have they achieved excellence in their fields (as identified above)?
 Do they build connections across the community? (age / distance / access etc)
 How are they a role model in the community?
 How do they promote positive community messages?
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Melton Shire Council
2013 Community Achievement Awards
Community Project Nominations Only
Briefly describe the project. Why did you do the project?
Tell us about your Community Project: When answering this question consider:
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Who was involved in the project and what outcomes were achieved?
How does the project make a difference in the community?
What service or benefits does the project provide to the community
How does the project reflect the values (selection criteria) of the Community Achievement
Awards?
Was the project completed to budget?
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Melton Shire Council
2013 Community Achievement Awards
If required, please attach any relevant supporting documentation e.g. personal references,
portfolios or details of work etc on additional pages.
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