Clone of 2025 HERB JEFFREY AWARD NOMINATION FORM

HERB JEFFERY AWARD NOMINATION

The Herb Jeffery Award was first presented in 1985. Awarded for outstanding service in excess of 15 years to Country Swimming. The trophy is not restricted to technical officials and is announced at the Country Championships. Selected by a sub-committee of three (3) or more country members appointed by SV after full consideration of nominations received.
Nominee

First NameLast Name
Nominee Address

Street Address

Street Address Line 2

CityState

Post Code
Club
Email
example@example.com
Photo of Nominee

Please upload a current photograph of nominee.
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Years of Service to Swimming
Club Level
District Level
State/Country Level
Additional Information

Please upload any additional information that may not fit on this form or you may think be beneficial to the application.
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Nominated By
Nominator Email
example@example.com
Seconded By
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
NOMINATIONS CLOSE SATURDAY 19 DECEMBER 2026

LATE NOMINATIONS WILL NOT BE ACCEPTED
Should be Empty:

HERB JEFFERY AWARD NOMINATION