= Required Fields Online Form - Community Citizen of the Year Award 2019 The City of Greater Geraldton invites nominations for the awards from community groups and individuals for Geraldton & District and Mullewa & District. Nomination for: District Geraldton & DistrictMullewa & District Nomination Community Citizen of the YearCommunity Citizen of the Year Youth - 26 and underCommunity Citizen of the Year Senior - 55 and overActive Citizenship of the Year Group or EventCity of Greater Geraldton Young Achiever of the Year 18 and under Nominee Title Given Name Surname Group (if applicable) Address Suburb/Town State Postcode Telephone (Home) Telephone (Work) Telephone (Mobile) Email Address Reasons for Nomination How has the nominee\s demonstrated active citizenship and enhancement of community life? Please attach additional information if required How has the nominee\s contribution been recognised elsewhere? Nominator Name Address Suburb/Town State Postcode Telephone (Home) Telephone (Work) Email Address Do not fill this textbox.