Section 1 of 1
LNISS Service Award Nomination Form
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Before completing this form read the criteria and process for nomination.
Before completing this form read the criteria and process for nomination.
Note: Nominees MUST provide up to 10 years of contribution in administration, coaching, managing, umpiring or volunteering.
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Full name of Nominee
Full name of Nominee
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Nominees connection to LNISSs i.e. school and coach, manager, umpire, committee etc
Nominees connection to LNISSs i.e. school and coach, manager, umpire, committee etc
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Nominees record of service
Nominees record of service
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Any awards the Nominee has received - please put none if there aren't any to add
Any awards the Nominee has received - please put none if there aren't any to add
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Summary in support of this nomination
Summary in support of this nomination
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Name of Nominator
Name of Nominator
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Nominator email address
Nominator email address
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Nominator phone number
Nominator phone number
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Please submit your nomination to the LNISS by 25 August 2024
Please submit your nomination to the LNISS by 25 August 2024
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