Hockey Australia Hall of Fame Nomination

Hockey Australia Hall of Fame Nomination

Provide the nominee’s details, contributions, and supporting information for your Life Membership submission.
Purpose of Award

In 2008, HA launched its Hall of Fame with 22 inaugural inductees, recognising those athletes, coaches and umpires who have achieved excellence on the international playing field and by their achievements, significantly enhanced the image of the sport.
Eligibility Criteria

• Nominations for Hall of Fame from State and Territories must be sent to Hockey Australia
• Hall of Fame inductees are recognised for their outstanding achievement in International hockey.
• Players must be accepted as a product of the Australian hockey system or have established their reputations while a resident in Australia.
• Players, Coaches and umpires must have retired from International hockey for four years before being considered for induction into the Hall of Fame by the Hockey Australia Awards Committee.
• Coaches and Umpires can only be inducted into the Hockey Australia Hall of Fame - General Section
• Merit is the overwhelming consideration for induction into the Hall of Fame as a player or official.
• An inductee may be inducted posthumously.
Nominee Details
Family Name
Given Name(s)
Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Mobile Phone
Home Phone
Email
example@example.com
Date of Death (if applicable)

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Outstanding achievements and contribution to Australian hockey
Olympic Games
Please outline the nominee’s outstanding achievements and contributions at Olympic level.
World Cup
Please outline the nominee’s outstanding achievements and contributions at the World Cup.
Commonwealth Games
Please outline the nominee’s outstanding achievements and contributions at the Commonwealth Games.
Champions Trophy
Please outline the nominee’s outstanding achievements and contributions at the Champions Trophy.
World League/Pro League
Please outline the nominee’s outstanding achievements and contributions at the World League/Pro League.
Oceania Championships
Please outline the nominee’s outstanding achievements and contributions at the Oceania Championships.
Australian National League
Please outline the nominee’s outstanding achievements and contributions in the Australian National League.
Other awards or recognition achieved
Please outline the nominee’s other awards or recognition achieved.
Impact of nominee’s achievements
Briefly describe the impact of the nominee’s achievements and involvement on hockey. Please include any information that you believe will assist in the nomination.
Nominating Body Details

Details of the bode (State/Territory, or Club) making this nomination.
Name of Organisation
Contact Person

First NameLast Name
Position
Email
example@example.com
Phone
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Declaration
Name

First NameLast Name
Signature
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Should be Empty:

Hockey Australia Hall of Fame Nomination

Purpose of Award

Nominee Details

Outstanding achievements and contribution to Australian hockey

Nominating Body Details

Declaration