2018/19 Distinguished Service Award
For members to nominate for the 2018/2019 Distinguished Service Award of the Year category they must complete the nomination below. All nominations will be assessed on the Award criteria.

An affiliate/region can only nominate one person for the Distinguished Service Award. No more than 12 will be awarded annually to keep in line with the prestige of the Award.

A NSWTA or TFA Life Member or Hall of Fame Member is not eligible for nomination in this category.

A distinguished Service Award can only be received once.

Nomination Period - 30th June 2018 - 1st July 2019

This nomination will be confirmed in writing after nominations close 5pm Friday 28th June

Nominee *
Your answer
Nominee Affiliate/Region *
Your answer
Nominee Email *
Your answer
Nominee Mobile phone *
Your answer
Nominated by (Your Name) *
Your answer
Nominators Affiliate/Region *
Your answer
Nominators Position *
Your answer
Your email Address *
Your answer
1. The award nominee must have completed 25 years continuous service at affiliate/regional/state. Please demonstrate the meeting of this criteria by listing positions/service history in the past 25 years. *
Your answer
2. What current position does the nominee being hold at the affiliate/region/state? e.g. President/Secretary/Treasurer/Director of Referees/Junior Director/Committee/Volunteer. *
Your answer
3. Is the nominee a Life Member of the affiliate/region? *
4. Additional information supporting this nomination
Your answer
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