Nomination Form - SV Service Award

Nomination Form

Swimming Victoria Service Award
When considering a nomination for a Service Award the emphasis is on service or contribution to Clubs, Districts and the sport of Swimming. The Board shall have regard to the following:
- the quality, length and level of service given;
- the standard of competitive performance (athlete or coach) by the nominee;
- whether the nominee has given 12 or more years of service to a Club or District
Any individual member may submit a nomination for a Service Award
- Name of Nominee*
  
  First NameLast Name
- of (Address)*
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Post Code
- Club Name*
- District Name*
- For the Board to endorse a nomination, the nominee should have met the guidelines as described in By-Law 6 Awards (BL6)
- YesNo
- Period of Service (number of years)*
- Unsure/Don't knowClub Life MembershipDistrict Life MembershipOther Award/s directly related to Swimming eg Local Govt recognition
- Please provide further details describing/supporting Service Award nomination (Max 600 words)*
  
  0/600
- It is helpful if you are able to provide a photograph of the nominee. If the nomination is successful we use photographs on our social posts. (Not compulsory and has no bearing on the nomination outcome)
  
  Cancelof
- Nominator*
  
  First NameLast Name
- Club*
- Please sign the signature panel OR upload your digital signature below
- Digital Signature
  
  Cancelof
- Signature
  
  Clear
- Date*
  
  DayMonthYear
  Nomination Submission/Completion
- Seconder*
  
  First NameLast Name
- Club*
- Please sign the signature panel OR upload your digital signature below
- Digital Signature
  
  Cancelof
- Signature
  
  Clear
- Date*
  
  DayMonthYear
  Nomination Submission/Completion
- As per the Swimming Victoria Awards By-Law, BL6 Clause 4.4, any Member of SV may nominate a person who is eligible for a Service Award on the prescribed form by submitting it to the CEO no later than 30 June in each relevant season.
  
  You are able to save this document and complete at a later date by clicking the SAVE button below. (Saved Draft can be forwarded to Second Signatory)
  
  By clicking the Submit button below this application will be automatically sent to: ceo@vic.swimming.org.au
- Should be Empty: