Heide Taylor Community Service Medal

Heide Taylor Community Service Medal and Prize

This award recognises the work of Dr. HEIDE TAYLOR OAM, involved in Women’s Affairs for over forty years and countless activities related to the Status of Women; adviser to both Federal and State governments.

The nominee does not have to belong to a service club
The nominee has been nominated for their volunteer efforts in an unpaid capacity
Give description of current, past and any other service to their community
Duration of service
Beneficiaries of the service
Impacts of the service
Referees if appropriate
(Maximum of 750 words.)

Download word doc nomination form

Heide Taylor Community Service Medal

Name of Nominee

The Heide Taylor Community Service Medal and monetary Prize will be awarded to an individual who has rendered outstanding voluntary service to the South Australian community. Nominees are not required to be a Service Club member.

Your Name as Contact person(Required)

First Last

Name of Submitting Club(Required)

President’s Name(Required)

Date of Submission(Required)

Contact Mobile Phone(Required)

Your Email Address(Required)

Website

Address

Street Address Address Line 2 City State Postcode

Details of Nominee’s Community Service (max 750 words)(Required)

No more than 750 words

Please provide a small paragraph describing service which will be used at the Awards Luncheon(Required)

No more than 750 words

Name of Bank Account(Required)

BSB on the Account(Required)

Please check details

The Club's $ Account Number

Please check details

Your submission will be emailed to Peter Zander SCASA applications@scasa.org.au