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* 1. Name of the Nominated Affiliated District, Club, NetSetGO or Individual.

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* 2. Name of the person or group nominating.

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* 3. Please provide examples of the nominated individual/group where they have engaged in an inclusion program (CALD, Indigenous, All-Abilities) that is innovative and sustainable to the community.

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* 4. Please provide examples of support of non-traditional participants when transitioning from a community-based program to their netball District, Club or Centre.

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* 5. Please provide any supporting documentation to your submission.

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