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Volunteer Awards - Nomination form

Last updated: 24/02/2017 7:37 PM
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Complete the form below to nominate an eligible volunteer for the WA Volunteer Service Awards program in recognition of either 25 years or 50 years of service. 

If you require more information, please contact the department on (08) 6551 8700 or email volunteering@dlgc.wa.gov.au

If you require assistance completing this form, please contact webmaster@dlgc.wa.gov.au

​* Fields marked with an asterisk require a response.