Pony Club Values Awards Nomination Form

Pony Club Values Awards

Pony Club aims to instill equestrian skills and knowledge in our members but a life with horses is about more than competition and performance. Pony Club also promote values essential to good citizenship. The Pony Club Australia Values Awards reward the extraordinary achievements and contributions of our members to the social and environmental sustainability of Pony Club, the welfare of horses and the cohesion and inclusiveness of the Pony Club community. The behaviours and activities which members are nominated for must be over and above what would be expected of any member in the course of their riding or support at Pony Club. The awards are open to all members including coaches and volunteers.
Assessment Criteria

There are three Pony Club Values Awards; Community Captain, Sustainability Champion and Welfare Warrior. Descriptions of each of these awards are below. Nominators should be familiar with the full award information available at ponyclubaustralia.com.au
Nomination form

Select the award and complete the selection criteria. Please note: individuals cannot nominate themselves and must be a Pony Club member. Note: the nominator and Referee do not have to be Pony Club members.
Select the Award

Community CaptainSustainability ChampionWelfare Warrior

1. Nominator Information
Your Name*

First NameLast Name
Your E-mail Address*
example@example.com
Your Contact Number*
Your Pony Club
Your State Details
Are you in any way related to the nominee?*

YesNo

2. Nominee Information
Nominee's Name*

First NameLast Name
Nominee's Contact Number*
Nominee's E-mail Address*
Nominee's Pony Club
Is the nominee aware of this nomination?

YesNo

3. Referee Information (not the nominator)
Please provide the details of one referee who supports your nomination. The referee may be contacted to provide their reference.
Referee's Name*

First NameLast Name
Referee's E-mail Address
Referee's Contact Number*
Community Captain

Please use specific examples to help support this nomination.
Community Captains consider the perspectives, skill level and ambitions of others and have the ability to make them feel safe, valued and included. Community Captains identify and act upon ways to bring people together for the greater good of Pony Club. They are ambassadors for the community spirit that unites the international Pony Club movement. The PCA Community Captain recognition award is awarded to a PCA member who represents the aforementioned attributes of a Community Captain, as demonstrated in a specific project, activity or innovation. The award is to recognise extraordinary efforts above and beyond what would ordinarily be expected of a Pony Club Australia member. In the box below, please tell us why you think your nominee deserves to be recognised with a PCA Community Captain Award. Please be as specific as possible in your response.

max. 200 words0/200
Do you have any evidence of the impact of the nominee's work/project/initiative on making people feel feel safe, valued and included, and/or bringing people together for the greater good of Pony Club? Where relevant, please state who was impacted, where and how many.

max. 200 words0/200
Has the work/project/initiative for which you are nominating the nominee been recognised already, such as in a club newsletter, local newspaper, television programme, radio interview, etc.? If so, please give details below. You will be able to upload images in a later question. Please note that any existing recognition given to your nominee will not affect this application.
max. 200 words
Sustainability Champion

Please use specific examples to help support this nomination.
Pony Club Australia is the longest running equestrian organisation in Australia. Sustainability Champions undertake projects which ensure the long-term environmental and/or social sustainability of Pony Club. The Sustainability Champion award recognises a Pony Club Australia member who has advanced the sustainability of Pony Club in particular and equestrian activities more generally. The recipient's impact and achievements will be demonstrated in a specific project, activity or innovation. Which of the following represents the work of your nominee:

Social SustainabilityEnvironmental Sustainability
The PCA Sustainability Champion award has been introduced to recognise extraordinary efforts above and beyond what would ordinarily be expected of a Pony Club Australia member. In the text box below, please tell us why you think your nominee deserves to be recognised with a PCA Sustainability Award. Please be as specific as possible in your response.

max. 200 words0/200
Do you have any evidence of the impact of the work/project/initiative on the social or environmental sustainability of Pony Club and horse-riding in Australia? Where relevant, please state what issue was addressed (or what benefit was supported) where and how many people benefitted.

max. 200 words0/200
Has the work/project/initiative for which you are nominating the nominee been recognised already, such as in a club newsletter, local newspaper, television programme, radio interview, etc.? If so, please give details below. You will be able to upload images in a later question. Please note that any existing recognition given to your nominee will not affect this application.

max. 200 words0/200
Welfare Warrior

Please use specific examples to help support this nomination.
The Welfare Warrior recognition award is awarded to a PCA member who has put the horse’s health and wellbeing needs before their own on a notable occasion, or delivered a project that addresses the mental and physical aspects of horse welfare and wellbeing across one or more of the following areas: nutrition, health, environment, behaviour and human interaction. The award has been introduced to recognise extraordinary efforts above and beyond what would ordinarily be expected of a Pony Club Australia member. In the box below, please tell us why you think your nominee deserves to be recognised with a PCA Welfare Warrior Award. Please be as specific as possible in your response.

max. 200 words0/200
Do you have any evidence of the impact of the work/project/initiative on horse welfare? Where relevant, please state how many horses, where the horses are, what kind of horses have been or will be impacted etc.

max. 200 words0/200
Has the work/project/initiative for which you are nominating the nominee been recognised already, such as in a club newsletter, local newspaper, television programme, radio interview, etc.? If so, please give details below. Please note that any existing recognition given to your nominee will not affect this application. You will be able to upload images in a later question.

max. 200 words0/200
Please upload up to three photos as evidence of support for this nomination.

Browse Files
Each image can be max. 100MB in size to upload Cancelof
Thank you for nominating someone for their outstanding achievement and extraordinary efforts.

Thank you for taking the time to complete this nomination and provide as much detail as you can. This will make it possible for us to give the nominee full consideration. If the nomination is successful, your detail will enable us to publicly acknowledge their hard work.
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Pony Club Values Awards

Assessment Criteria

Nomination form

Community Captain

Sustainability Champion

Welfare Warrior

Thank you for nominating someone for their outstanding achievement and extraordinary efforts.