2015 AFL School Ambassador of the Year Nominations

2015 Awards - Nomination Form

NOMINATIONS CLOSE: FRIDAY 3rd JULY 2015, 5pm sharp.
SECTION 1: Details of AFLSA nominated:
Title: Ms / Mrs / Mr
Name: Name: First Last
Year inducted
School Name
School Address:
School Email of AFLSA:
AFLSA's role at the school (Select one):
* If 'Other', please specify below:
AFLSA's Mobile Phone (if no mobile, or not known, please enter 0):
Select ONE CATEGORY to nominate the AFL School Ambassador for:

Select ONE CATEGORY to nominate the AFL School Ambassador for: 2015 AFLSA OUTSTANDING SERVICE AWARD supported by BHP Billiton Iron Ore the Principal Community Partner of the West Coast Eagles (Nominations by WAFC Staff ONLY) Most Outstanding PRIMARY AFL School Ambassador Most Outstanding SECONDARY AFL School Ambassador Outstanding FIRST YEAR AFL School Ambassador Outstanding INDIGENOUS AFL Program Outstanding FEMALE AFL Program Outstanding MULTICULTURAL AFL Program

Select only 1 category.
IMPORTANT: An AFLSA can only be nominated for ONE category
SECTION 2: School Principal Acknowledgement
Principal has endorsed this AFLSA's nomination:

Principal has endorsed this AFLSA's nomination: YES
Principal's name: Principal's name: First Last
Principal's email:
SECTION 3: Nomination Information:
This used for judging so include as much detail as possible.
Do not include information from before Term 3 2014.
Describe the brand new initiative/s this School Ambassador implemented in 2014-2015.
Describe how this School Ambassador has been inclusive (gender, ability, skill, knowledge, culture) in 2014-2015.
Describe how this School Ambassador shared their football knowledge with other school staff in 2014-2015.
Describe how this School Ambassador used football to improve student behaviour, attendance, academic, health or skill outcomes in 2014-2015.
Describe how this School Ambassador connected with the wider community and/or local football clubs in 2014-2015.
SECTION 4: Nominator's Details:
Your name: Your name: First Last
Position:
* If 'Other', please specify below:
School Phone:
Mobile Phone (if no mobile please enter 0):
Email:
Section Break

2015 AFL School Ambassador of the Year Nominations

2015 AFL School Ambassador of the Year Nominations

NOMINATIONS CLOSE: FRIDAY 3rd JULY 2015, 5pm sharp.

SECTION 1: Details of AFLSA nominated:

IMPORTANT: An AFLSA can only be nominated for ONE category

SECTION 2: School Principal Acknowledgement

SECTION 3: Nomination Information:
This used for judging so include as much detail as possible.
Do not include information from before Term 3 2014.

SECTION 4: Nominator's Details:

Section Break

2015 AFL School Ambassador of the Year Nominations

2015 AFL School Ambassador of the Year Nominations

NOMINATIONS CLOSE: FRIDAY 3rd JULY 2015, 5pm sharp.

SECTION 1: Details of AFLSA nominated:

IMPORTANT: An AFLSA can only be nominated for ONE category

SECTION 2: School Principal Acknowledgement

SECTION 3: Nomination Information: This used for judging so include as much detail as possible. Do not include information from before Term 3 2014.

SECTION 4: Nominator's Details:

Section Break

SECTION 3: Nomination Information:
This used for judging so include as much detail as possible.
Do not include information from before Term 3 2014.