NOMINATION FORM
Please note: submissions close at 5pm on Sunday 22 September 2024.
ELIGIBILITY AND CATEGORIES OF AWARDS
Your details (nominator)
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you happy to be identified as the nominator?
YES/NO
Nominee details
Sportsperson information. Please note: if nominating a group/team, please list primary contact first then team members below.
Preferred Title/Pronouns (if applicable)
TITLE eg. DR, Mr, Mrs, Ms, Miss
PRONOUNS - He/His, Her/She, They/Them
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
TEAM MEMBERS
Please include first name, surname, age and contact phone number.
Has nominee/s been a previous recipient of these awards?
YES/NO
SPORT FOR NOMINATION
*
eg. Tennis, AFL, Soccer
CATEGORY FOR NOMINATION
*
PRIMARY SCHOOL (Individual)
PRIMARY SCHOOL (Team)
SECONDARY SCHOOL (Individual)
SECONDARY SCHOOL (Team)
OPEN (Indvidual)
OPEN (Team)
Member of Parliament
How did you hear about the Wannon Sport Awards?
Please Select
Previous award winner
Email
Social Media
Newspaper/Radio
Word of mouth
Other
REASON FOR NOMINATION
*
In approx. 100 words, please describe why you nominated this person/team/organisation
KEY ACHIEVEMENTS OF THE NOMINEE/S
*
Please refer to elibility critera
KEY ATTRIBUTES OF THE NOMINEE/S
*
Eg. Leadership, commitment - please refer to the elibility criteria
Submit
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