2023 Chemist Warehouse Athletics Community Hero Nomination Form Survey

Athletics Australia is delighted to announce the launch of the Chemist Warehouse Athletics Community Hero Awards – an award designed in collaboration with Chemist Warehouse to bring the unsung heroes of our great sport into the spotlight.

The award provides a platform to celebrate those in the athletics community who often work tirelessly behind the scenes to ensure athletics in Australia is the success that it is. So, if you have a story to tell of someone you feel is deserving of the recognition, simply fill out the form below.

Once the nomination period ends, finalists will receive a $500 gift voucher courtesy of Chemist Warehouse. One individual will receive a $1,000 Chemist Warehouse gift voucher and will be crowned the 2023 Chemist Warehouse Athletics Community Hero.

Nominations are now open and will close on June 16, 2023.

1.Nominator Details (Your details?)(Required.)

First Name

Surname

City

State

Email Address

Phone Number

2.What state is your Nominee from? (Who you are nominating?)(Required.)

3.Nominee Details (Who you are nominating?)(Required.)

First Name

Surname

City

Home Athletics Club

Email Address

Phone Number

4.In 100 words or less, tell us why the nominated person should be the Chemist Warehouse Athletics Community Hero?(Required.)

5.Please attach an image of the nominee, preferably in an athletics setting.(Required.)

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Terms & Conditions
1) Anyone can be nominated, but nominees must be from a member of the Athletics community in Australia
2) Nominees can be any age
3) Nominations open 19/05/23
4) Nomination period ends 16/06/23