Claude Gillard Australian Skydiving Legends Award

Nominee Information

Nominee Name*

APF Number (if known)

Phone Number

Email Address

Gender

Male

Female

Date of Birth

Place of Birth

Date of Death (if applicable)

Place of Death (if applicable)

Year of First Skydive

Family Member Contact Information

(If deceased)

Name

Phone Number

Email Address

Familial Relationship

Has this nomination form been reviewed by a member of the candidate's family?

Yes

Nominator Information

Nominator Name*

Nominator APF Number*

Nominator Phone Number*

Nominator Email*

Relationship to Nominee

Criteria

Reference

Details of APF Membership (current, or past and years of membership)

Areas of Contribution: Made major contributions to the sport in at least 3 of the following skydiving related areas:

Leadership
Administration
Instruction
Competition [to include judging]
Photography/videography
Aviation and provision of skydiving aircraft
Innovation
Design, Invention and/or Manufacturing
Sport promotion [to include government liaison]
Philanthropy.

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.

Contribution Area 1*

Contribution Area 2*

Contribution Area 3*

Contribution Area 4

Contribution Area 5

In narrative form, using 100 words or less, indicate the major contributions and/or accomplishments that serve to qualify the nominated individual for admission to The Claude Gillard Australian Skydiving Legends Award

Contribution to the Sport*

If not otherwise reflected above, briefly indicate why, in your view, the candidate is especially deserving of this honour.

Mandatory field(s) marked with *

Family Member Contact Information

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