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Home
About Us
What is SportWest
Advocacy
Governance
Board
Staff
Contact Us
SportHQ
Membership
Member Benefits
Join SportWest
Members
How We Help
Member Support
Child Safeguarding
Mental Health
True Sport
COVID-19
Our Partners
Become a Partner
News & Events
Current News
Media Releases
Sportsview
Events
Careers
Jobs Board
Board Opportunities
SportWest Awards
2021 SportWest Awards
History
Past Winners
Sport Star
Junior Sport Star
Team of the Year
Coach of the Year
Official of the Year
Sports Administrator of the Year
Service to Sport
Community Club of the Year
Healthy Club Award
Special Achievement
rebel Junior Sport Star of the Year Award
Contact Us
Nominee Details
Name
*
First
Last
Sport
*
Mobile Number
*
Email
*
Nominee Achievements
Junior nominees may be of any underage restriction as defined by the sport but must be 18 years or under for the period of 1 December 2020 to 30 November 2021. If the achievement(s) are in non-restricted open competition the nominee must also be 18 years or under in the nomination period.
Tick the box indicating the highest level of competition possible for your sport during the period 1 December 2020 to 30 November 2021
State
National
International
Indicate the nominee’s highest level of performance during the selection period.
State
National
International
Indicate the nominee’s highest status of competition during the selection period.
Open
Restricted by age
Please give Australia’s world ranking (if applicable):
High
Moderate
Low
Please give Nominee’s current ranking (if applicable):
Please give Nominee’s current ranking (if applicable):
Detail the nominee’s most outstanding achievement on which the nomination is based:
*
List the highest achievements of the nominated individual during the period 1 December 2020 to 30 November 2021
Performance/Achievement Details
Detail the nominee’s significant performances and achievements in the period 1 December 2020 to 30 November 2021.
Date
DD dash MM dash YYYY
Level
State
National
International
Competition
Number of Participating Countries
Events Contested
Number of Official Entries
Achievements
Nominating Organisation Details
Name
*
First
Last
Organisation
*
Mobile Number
*
Email
*
Media Contact - if different from nominee
Name
*
First
Last
Phone Number
*
Email
Comments
This field is for validation purposes and should be left unchanged.
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