High School Principal



Referee 1:

Referee 2:

Instructions: Please attach a Citation with a distinct description of the community service provided by the student in no more than 1000 words. This must not be written by the student. Nominations should be typed or printed clearly to ensure legible copies can be made for distribution to the Award judges.
Click or drag a file to this area to upload.
***documents should be submitted in pdf format only

To the Principal:

The Order of Australia Association (NSW Branch)

Youth Community Service Award 2021

This Award (formerly known as the John Lincoln Youth Community Service Award) recognises exceptional community service by a Year 11 or 12 student in either the NSW HSC or International Baccalaureate programs. Nominations should provide a distinct description of the community involvement and contribution by the student, especially that extending beyond the school into the broader local, state, national or even international communities. Nominations are usually restricted to one per school.

The nomination process comprises completion of this Nomination Form, including a clear Citation in no more than 1000 words.

The Citation should NOT be written by the student.

Where possible, please provide a personal or home phone number and/or email address for the nominee so that contact with successful students may be made quickly when judging is completed. School email addresses have caused significant contact delays in past years, especially during term holidays. This information will be kept strictly confidential and not used for any purpose other than initial direct contact with successful nominees.

Other relevant evidence may also be provided, but judging will be primarily based on the Citation.

The Principal is also requested to provide a 50 to 100 word Abstract from the Citation. If the student’s nomination is successful, the Abstract will be used in preparation of his/her introduction to the Governor of NSW at the Award ceremony, to be conducted at NSW Government House on September 23, 2021.

Permission of the Awardee (or parent) is required for use of official individual and group photos taken at the ceremony to be used in press articles and Award publicity.

Citations should be typed in PDF format only and attached in the Citation box at the end of this form. This will enable legible copies to be made for distribution to the judges. Clicking on the Submit button will complete the lodgement process.

Closing Date For Nominations Is Friday May 28
  1. A Red Star should be added above Principals Last Name
  2. A Red star should be added to School address, and
  3. A Red Star should be added above Permission to use photos taken at the Award ceremony

Convenor, Youth Community Service Award
The Order of Australia Association (NSW)
P.O. Box 3019, Grose Vale NSW 2753
Enquiries : 0427 644 397 or [email protected]