Service, Honours or Life Membership Awards
Nomination for:
Service award,
Honours award
Life Membership
Club
Nomination name
First Name
Last Name
Email contact for nomination
example@example.com
Nominee name
First Name
Last Name
Email contact for nominee
example@example.com
Number of years associated with Swimming Wellington
Number of years associated with Club
Number of years as an active competitor
Any past clubs associated with
Club achievements
List positions held by nominee in the club
Please provide any supporting evidence
Browse Files
Cancel
of
Official Qualifications
Please provide any supporting evidence
Browse Files
Cancel
of
General comment on any other work for club, region or national body
Submit
Should be Empty: