APF Service Award Nomination

Nominee Information

Nominee Name*

APF Number (if known)

Nominator Information

Nominator Name*

Nominator APF Number*

Nominator Phone Number*

Nominator Email*

Criteria

Reference

Current APF Full Term, Life or Honorary Life member

APF Number

10 years cumulative APF membership as a Full Term, Life or Honorary Life member.

How many years?*

Currently maintaining some involvement within the sport or industry

How is the nominee currently still involved in the sport?*

Areas of Service & Contribution

This award is for outstanding sustained contributions over a minimum of 10 years. Areas of contribution may include:

Growth of sport or industry
Safety
Training
Sport Administration
Voluntary APF roles
Where the member has gone above and beyond their required role
Instructional
Other

Please list each of the contributions to the APF, Sport or Industry, the nominee has made. Where possible, list in chronological order. When applicable mention the impact on the sport the contribution had.

Has the nominee been recognised elsewhere (e.g. in the media, by other APF or Non APF awards, local clubs etc.*

Additional Information

Here you can provide any other relevant information you feel may support the nomination

Mandatory field(s) marked with *

APF Service Award Nomination

Areas of Service & Contribution

Reference Form

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