= 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.