Gymnastics Victoria Awards Gala Nomination Form

Nomination Form - 2025 INCLUSION AWARDS

Please use one form per nomination.

Nominations open Wednesday 26th November

Nominations Close Monday 15th December NOON

Before nominating please read the awards criteria and process - click here.
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?
Details of the Nominee

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 is selected as a finalist and/or winner of a GV award.
Are you nominating*

2025 Inclusive Program of the Year2025 Inclusive Leader of the Year (Club or Person)2025 Gymnast with a Disability - Athlete of the Year
Name of club being nominated:
Name of person being nominated (nominee):*

First NameLast Name
Name of club nominee belongs to:
Nominee's e-mail address (if known). This information may be used to contact the nominee, and will NOT be publicised.

Confirmation Email
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.
Describe how the nominee embodies Gymnastics Victoria's Vision and Values (100 words max) *

0/250
Inclusive Program of the Year - outline how the nominee meets the criteria for this award*

0/300
Inclusive Leader of the Year - outline how the nominee meets the criteria for this award*

0/300
2025 Gymnast with a Disability - Athlete of the Year - outline how the nominee meets the criteria for this award*

0/300
Please attach a high resolution photo to be used with this submission.*

Upload a File
Photos can also be emailed to bdejong@gymvic.org.au Cancelof
Terms & Conditions*

I agree that the information provided in this submission is true and correct.The person nominated has given permission for their photo to be used by GV on the website and in social media for awards night purposes
Should be Empty:

Details of club / person submitting nomination

Details of the Nominee

Award Nomination Criteria