Events and training

2023 Councillor Service and Mayor Emeritus Awards Nomination form

Nominations are now open for the 2023 Councillor Service and Mayor Emeritus Awards which will be presented at the MAV Annual Conference Gala Dinner on Thursday, 12 October 2023 at Sofitel Melbourne on Collins.

Please note that nominations close Friday 8 September 2023 and will not be accepted after this date.

Important: Before submitting this form, please note:

  • Nominations can only be submitted by council officers. For example: Council Support Officers, Governance Officers, Executive Assistance and CEOs.
  • Nominations must be endorsed by the Council CEO.

If you have questions regarding the Awards, please contact learningandevents@mav.asn.au

Council Contact Details

Please provide the following details so that we can contact you about this nomination:

The Nominee

Enter the details of the councillor or mayor nominated for the award:

Award Types

Councillors who have served 10, 15, 20, 25, 30 or 35 cumulative years for any Victorian municipality are eligible for an award. Periods served over multiple municipalities that are not necessarily in consecutive years are counted as eligible service period. These awards will recognise periods of service that conclude in 31 October 2023.

The Mayor Emeritus Awards are open to current councillors who have served three or more terms as Mayor. For the purpose of these awards, 12 months constitutes a full term and includes terms that concludes in either October or November 2023 based on Mayoral elections.

This award can only be received once by a mayor.

Award for which application is sought: *

Periods of Service

Please indicate the period of service completed as a councillor or mayor. If service is not consecutive, please indicate previous periods of service.

If service comprises terms for more than one council and/or prior to amalgamation, please indicate the name of the council to which each period of service relates.


To be completed by the CEO or the council officer submitting the form on behalf of the CEO.

Declaration and Certification *

The CEO has endorsed this nomination and certifies that the information provided on this form is true and correct.

Please contact learningandevents@mav.asn.au if you require assistance with submitting this form.