Please complete the relevant sections of the below form, click submit and wait for the confirmation page to display. If you experience any difficulties with the form, please contact our friendly Customer Service team on 4099 9444 or email enquiries@douglas.qld.gov.au

Nominations close Wednesday 11 November 2026.

  • Details of Nominator (you) | Nominator details authenticate the nomination and enable communication throughout the awards process.

  • Details of Nominee

  • Details of Parent or Caregiver

    (Only applicable if the nominee is under 18 years of age)
  • Record of Achievements

    Please answer the below questions addressing the nominee's relevant contributions.
  • These words support the award decision, public announcement, ceremony presentation, and recognition of the nominee. Please keep in mind that your response may be published or read out during the ceremony. (200 words or less)
  • Referee Details

    Each nominee requires one referee to verify their character and community service