Online Form - International Women's Day

Do you know a young woman aged between 10 - 17 years who deserves to be recognised at our International Women's Day Youth Celebration Event?

If so then please nominate them for an award by completing the back of this form.

Nominee Criteria:

  • Must be aged between 10 - 17 years
  • Must be able to demonstrate how the nominee has made a positive impact within their community, demonstrated leadership, shown great determination or any other reason to be recognised.
  • Be a resident of Newman

For further information please contact the Shire of East Pilbara Youth Services team on 9175 1963 or

Fill out the form below OR download and email to or return to one of the nomination forms located at various drop-boxes in Newman.

Nominations must be received no later than 5pm on Tuesday 1st March.


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