Nomination form

Nominations are now closed. Thanks to everyone who took the time to tell us why your father figure deserves recognition. We are currently shortlisting and reference checking.

We will contact the winning Dad by Thursday 15 August to let them know they are the Victorian Father of the Year! If you have any further questions please email fdc.admin@YMCA.ORG.AU.

Nomination form

Your full name(required)

Your email address(required)

Your telephone number(required)

Father or father figure's full name(required)

Relationship to you(required)

Contact details(required)

1. How has the nominee provided a positive contribution to a young person’s wellbeing – physical, emotional and social (max 200 words)(required)

Provide an example of how your nominee supports and connects with community (max 200 words)(required)

3. Describe a situation where the nominee has displayed the importance of fatherhood and being a positive role model in family life (max 200 words)(required)

4. Anything else you would like to mention?

5. Please provide two referees with their contact details and their relationship to the nominee(required)

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Nomination form

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