SSV Sports Awards - Service, Recognition and Life Membership Awards

SERVICE, RECOGNITION OR LIFE MEMBERSHIP NOMINEE OF THE YEAR
Welcome to the online nomination for the School Sport Victoria Sports Awards. This particular award recognises the outstanding achievements of a nominee for a Service, Recognition or Life Membership Award.

If you need to look over the School Sport Victoria Sports Awards Criteria, you can find it via the SSV website.

Which region does the nominee belong to?*

NOMINEE CONTACT INFORMATION
Full Name*

First NameLast Name
Gender*

MaleFemale
E-mail*
example@example.com
Mobile Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is the nominee currently employed at a school?*

YesNo
What award are you entering a nomination for?*

SCHOOL INFORMATION

Please note the Principal will recieve a notification of this nomination to the email address below.
School Name*
Please write the full name not the abbreviation
Principals Name*

First NameLast Name
Principals Email*
example@example.com
School Phone Number*

Area CodePhone Number

NOMINEE CITATION

Should the nominee be selected for the award, this citation may be read at the function, so please ensure information is precise and accurate. This citation should summarise the nominee’s achievements. Please use a maximum of 1000 words.
Maximum 1000 words

0/1000

PERSON MAKING THE NOMINATION
Name*

First NameLast Name
Email*
example@example.com
Mobile*

Area CodePhone Number
Relationship to Nominee*
Data entered into this online form, will be used to update SSV's data records, which includes being added to the SSV monthly eNews subscription.
Should be Empty: