NSWTA Life Membership Nomination Form

New South Wales Touch Association Life Membership Nomination

Nominations close 28 August 2024
LIFE MEMBERSHIP

Life Membership is the highest honour bestowed by the NSWTA and is reserved for individuals who have provided distinguished, meritorious, or exceptional service to the organisation. This prestigious award acknowledges those whose contributions have significantly advanced the NSWTA through areas such as administration, volunteerism, and state technical panels.

Eligibility Criteria:

Distinguished and Meritorious Service: Life Membership is available to individuals who have demonstrated exceptional commitment and service in the domains of administration, volunteerism, or technical panels within the NSWTA.

Service Focus: Candidates must have made their primary contributions in the areas of administration, volunteer support, or state technical panel involvement. Contributions through playing, coaching, or refereeing are recognised through the NSWTA Hall of Fame and are not considered for Life Membership unless they meet the specific Life Membership criteria.

This distinction reflects the highest level of recognition for those who have profoundly impacted the NSWTA through their dedicated service in key organisational roles.

The NSWTA Life Membership Policy can be found here
Date of Nomination*

MonthDayYear
Date
Nominee Name*

First NameLast Name
Nominee Address*

Street Address

Street Address Line 2

CityState

Post Code
Nominee Email*
example@example.com
Nominee Mobile Phone Number*
Statement of Claim

This statement should support the nomination for Life Membership under the Distinguished and Meritorious Service clause of the Policy. The following account should detail the nominee's exceptional contributions and service, aligning with the criteria outlined in the policy.
Statement of Claim for Nomination*
Innovative practice- reviewing and modifying existing administrative and management procedures and introducing new procedures when required that have benefited the NSWTA..Advancing the profile of the game and the NSWTA by effective promotion which provides visible results.Increasing participation/representation with the NSWTA.Enhancing communication with the general body of NSWTA members and stakeholders.Constantly reviewing and modifying existing administrative and management NSWTA procedures.Reviewing the procedures of the NSWTA and/or other bodies, seeking to identify any better relevant policies and procedures that can be used, and introducing them to our sport where applicable.Enthusing others to implement appropriate ideas.Outstanding leadership qualities in all or many areas of the sport.Holding, in the opinion of the board of the NSWTA, good standing within the organisation and the wider community.Meritorious service at the NSWTA level.Such other criteria as the board of the NSWTA deems fit.
Distingushed and Meritorius Service

Identify the distingushed and meritorious service elements that the nominee statisfies.
YesNo
If YES please detail the elements that the nominee has demonstrated to meet this specific criteria.
YesNo
If YES please detail the elements that the nominee has demonstrated to meet this specific criteria.
YesNo
If YES please detail the elements that the nominee has demonstrated to meet this specific criteria.
YesNo
If YES please detail the elements that the nominee has demonstrated to meet this specific criteria.
YesNo
If YES please detail the elements that the nominee has demonstrated to meet this specific criteria.
YesNo
If YES please detail the elements that the nominee has demonstrated to meet this specific criteria.
YesNo
If YES please detail the elements that the nominee has demonstrated to meet this specific criteria.
YesNo
If YES please detail the elements that the nominee has demonstrated to meet this specific criteria.
YesNo
If YES please detail the elements that the nominee has demonstrated to meet this specific criteria.
YesNo
If YES please detail the elements that the nominee has demonstrated to meet this specific criteria.
YesNo
If "Such other criteria" has been selected, please detail the distinguished and meritorious elements that the nominee has demonstrated to meet this specific criteria.*
NSWTA Board Service- not less than 10 continuous years of meritorious service.NSWTA Technical Service- not less than 15 continuous years of meritorious service.NSWTA State Panel Service- not less than 20 continuous years ofmeritorious service.Affiliate Executive Service- not less than 20 continuous years of meritorious service as leader of the Affiliate.NSWTA Regional Service- not less than 20 continuous years of meritorious service.
The NSWTA Board will appoint a committee to consider the nomination against the criteria.

Please note that the nominations committee may request further information if it feels it is necessary to determine whether a nomination meets the criteria.
Nominated by*
Name of Mover
Nominator Email
example@example.com
Affiliate or Region*
Type in the name of the Affiliate or the Region that you are a financial member.
Mobile number
Please enter a valid phone number.
Seconded By*
Name of Seconder
Seconder Email
example@example.com
Affiliate or Region*
Type in the name of the Affiliate or the Region that you are a financial member.
Mobile number
Please enter a valid phone number.
YesNo
Affiliate Nominator Signature
Should be Empty:

New South Wales Touch Association Life Membership Nomination

Statement of Claim

Distingushed and Meritorius Service