Introduction
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Eligibility
❖ Only community members who volunteer within the Shire of Capel are eligible for nomination.
❖ The nominee must provide significant and valuable services to the community.
❖ The nominee should have a track record of consistent volunteering over a substantial period.
❖ Nominations can be submitted by any member of the community who has personally witnessed or directly benefited from the nominee’s services.
❖ Volunteers can only receive one honorarium payment per year.
Nomination Process
❖ Any community member can submit a nomination for a volunteer, including self-nominations.
❖ Nominations must be submitted using the official nomination form available through the Shire’s website or a hard copy form can be obtained from the Shire Administration Office or any Shire Library.
❖ Nominations should include detailed information about the nominee’s volunteer activities, their impact on the community, and any relevant accomplishments.
❖ The nominator should provide their contact information for follow-up purposes.
Selection Committee
❖ A selection committee will review and assess the nominations.
❖ The selection committee will consist of Shire Councilors and Shire Officers.
❖ The selection committee will be impartial and fair in their evaluation of nomination, all conflicts of interest must be declared.
❖ The decision of the committee will be final and not subject to appeal.
Selection Criteria
❖ The committee will consider the nominee’s dedication, impact, and commitment to communities in the
Shire.
❖ The quality and significance of the services provided by the nominee will be considered.
❖ The committee will consider the length of volunteer service and consistency of involvement.
❖ The impact of the nominee’s activities on the community will be a key factor. Where applicable, provide
specific examples of projects or events the volunteer has been involved in and the outcomes achieved.
Honorarium Amount
❖ The honorarium payment will not exceed the value of $500.
❖ The specific amount will be determined by the selection committee based on the nominee’s contribution and the available budget.
Recognition and Award Cermony
❖ Chosen recipients of the honorarium payment will be announced at the Shire’s annual Australia Day Citizenship and Community Awards in January.
❖ The honorarium payment will be presented to the recipients during the Community Awards, along with a certificate of recognition.
❖ The Shire’s website and social media platforms will be utilised to share the stories of the recipients
Nominator Information
Please complete the following form to nominate a volunteer for a one -off honorarium
payment in recognition of their services in the Shire. This honorarium can be awarded up
to the value of $500.
Nominee Information
*Please use additional pages as required.*
Declaration
I declare that the information provided in this application is true and accurate to the best of my knowledge.
I understand that the decision of the selection committee is final and not subject to appeal.
Attachments
Please attach at least one photo, (preferably three)
This is mandatory for submission validity.