2024 Gymnastics Victoria Ball and Awards Night Nomination Form

Nomination Form: 2024 Inclusion Awards

Please note, that if you wish to make more than one nomination, you must complete one form per nomination.

Nominations Close on 6 December 2024.

Before nominating please read the awards criteria and process -

For more information or to ask questions about the form below, please email Natasha Redden at nredden@gymvic.org.au or call 9005 4700.
Details of club / person submitting nomination

This information will not be disclosed, other than to the Awards Committee.
Name of person completing this form:*

First NameLast Name
Contact email:*

Confirmation Email
Daytime phone number*
Club:
What is your relationship to the nominee(s)?
Details of the nominee(s)

This information will be provided to the Awards Committee for shortlisting and voting purposes, and may be used (in whole, or in part) for promotional purposes if the nominee(s) is selected as a finalist and/or winner of a GV award.
Are you nominating:

Inclusive Program of the Year (A club)Inclusive Leader of the Year (An individual)Inclusive Leader of the Year (A club)Gymnast with Disability of the Year (An individual)
Name of the Club nominated ('nominee')
Name of the person being nominated ('nominee')
Name of the Club the nominee belongs to
Nominee's e-mail address (if known).

Confirmation EmailThis information may be used to contact the nominee, and will NOT be publicised
Award nomination criteria

The information provided will be provided to the Awards Committee for shortlisting and voting purposes. It may also be used (in whole or in part) for promotional purposes if the nominee is selected as a finalist and/or winner of a GV award.
Category of Award*
With reference to the specific criteria for this Award, describe how the nominee has implemented an inclusive program or event which promotes and supports the inclusion of underrepresented groups in the sport of gymnastics. (200 words max) *

0/250
With reference to the specific criteria for this Award, describe how the nominee champions inclusion in their community, demonstrating leadership and promoting safe, inclusive, and welcoming experiences in gymnastics. (200 words max) *

0/250
Describe how the nominee reflects GV's values - Courage to do things differently; Lead with integrity; Act as one; Excellence in delivery; and Respect our people. (100 words max)*

0/250
Describe how the nominee has shown a high level of commitment to gymnastics, acted as a role model, demonstrated a high level of sportspersonship, and achieved outstanding results at a State, national, international, or elite level. (200 words max)*

0/250
Please attach one high resolution photo and one 30 second or less video of the nominee(s) in action to be used with this submission.*

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Terms & Conditions*

I agree that the information provided in this submission is true and correct and acknowledge the images have approvaol for publication by Gymnastics Victoria.
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Details of club / person submitting nomination

Details of the nominee(s)

Award nomination criteria