Premmie Hero Volunteer Award Nomination






To nominate a “Premmie Hero” for our 2015 Volunteer Awards, you must complete the following online form.

Please fill in the required fields and read our terms and conditions before submission. If you have any questions please visit our FAQ’s page

Nominees do not need to have any premature children of their own or be to be involved with a community group or charity. If they do it from the love of their heart, we encourage you to nominate them.

Nominations are only open to individuals who have or do generously volunteer to make a difference in the premature birth community. Community groups or charities as a whole, are ineligible for nomination.

A person is ineligible for nomination if that person performs paid work solely focused in the premature baby community, whether as an employee, medical professional or otherwise of a charity or other organisation. If a person voluntarily provides services or volunteers on a personal level outside of their paid employment and is of significant benefit to the community, they may be eligible.

Nominations open on Wednesday, 1st July 2015 at 9.00am (AEST) and close on Monday, 31st August 2015 at 11.59pm (AEST).

Please fill in your details below (Nominator)

Your First Name (required)

Your Last Name (required)

Your Email (required)

Street Address

Suburb/City

State

Postcode

Phone (home) (required)

Phone (work)

Phone (mobile)

In at least 300 words (minimum) and no more than 1500 words (maximum), tell us why your nominee deserves to win the “2015 Premmie Hero Volunteer Award”. We recommend that you provide our judges with as much information about your nominee’s heartwarming efforts as possible.

Reason for Nomination (required)

____________________

Your Nominee (details of the volunteer you are nominating)

First Name (required)

Last Name (required)

Email (required unless unknown)

Street Address (required)

Suburb/City

State

Postcode

Phone (home or mobile) (required)

Phone (work optional)

Phone (mobile)

____________________
Referral Details (must be completed if self-nominating)

First Name

Last Name

Phone

Email

____________________

Tick to confirm that you have included either an email or postal address (or both) for your nominee. Your nomination cannot proceed without any contact information for your nominee. (required).

Are you happy for us to tell your nominee that you nominated them? (Tick no if you wish to remain anonymous) (required).

YesNo

Do you give us permission to add all or part of your nomination to the website as a nominee profile? (please note: We may edit your nomination for placement on the website. We will contact your nominee for a photo.) (required).

YesNo

How did you hear about our awards? (required)

This information is supplied without obligation. No personal details from your nomination form will be given to any third party distributor without prior consent.

I herby nominate the above person for the 2015 Premmie Hero Volunteer Awards and i have read the terms and conditions of entry. You declare that all information submitted on this form is true and correct at the time of submitting the nomination.

(Click here if you accept the terms and conditions of entry)

Additional Comments (not required)

Enter the code exactly as it appears
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Your nomination must be approved by your nominee before proceeding. Once we have received confirmation, your nomination will be sent to our panel of judges.

You can email us at premmiehero@live.com.au should you have any questions about our awards or your nomination.