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Arts Hall of Fame

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Arts Hall of Fame Nomination Form

All fields are required except where indicated

Category of Nomination

Please choose the most relevant category. If the nominee has made contributions in other fields, use the "additional categories" box below, and add further details.
Category Choices:







Nominator contact details

Note: Street number and Street name are needed for all addresses

Nominee Contact Information

Note: street number and street name are needed for all addresses

Nominee Background

Is the nominee of Aboriginal and/or Torres Strait Islander heritage? (Optional):
Was the nominee born overseas or from a culturally diverse background? (Optional):
Does the nominee have a lived experience of disability? (Optional):

Consent

Is the nominee aware of this nomination?:

Nomination Justification


Please describe the Impact of their work, including their commitment to the arts, contributions to the community, mentorship, and advocacy.
 

Include details such as place of birth, background, notable achievements, and their reputation within their field.
2000 characters remaining

Describe the nominee’s connection to Cockburn. For example:
  • Were they born or did they grow up in the City?
  • Did they relocate to the City by choice?
  • Does their work directly impact or have links with Cockburn?
  • How long have they lived in Cockburn? (minimum of five years)
2000 characters remaining

Supporting Documentation

Please provide relevant details to support the nomination, including dates and organizations associated with the nominee. Supporting documents (e.g., awards, publications, exhibitions) may be uploaded (max 100 MB per file, limit of 3 files).
I agree that I have read the City of Cockburn Arts Hall of Fame Guidelines before completing this form. By submitting this application, I declare all information provided is true and correct to the best of my knowledge.
 
 

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City of Cockburn
Whadjuk Boodja
9 Coleville Crescent,
Spearwood 6163

PO Box 1215, Bibra Lake DC,
Western Australia, 6965

Office opening hours:
8.30am to 4.30pm
Monday to Friday (excluding public holidays)

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Cockburn Nyungar moort Beeliar boodja-k kaadadjiny. Koora, yeyi, benang baalap nidja boodja-k kaaradjiny.
Ngalak kaditj boodjar kep wer kaadidjiny kalyakool yoodaniny, wer koora wer yeyi ngalak Birdiya koota-djinanginy.

The City of Cockburn acknowledges the Nyungar people of Beeliar Boodjar. Long ago, now and in the future they care for Country.
We acknowledge a continuing connection to Land, Waters and Culture and pay our respects to Elders, past and present.