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AAMI Service to Refereeing

Award Nomination Form

Judging Criteria:
• Providing service to the community through commitment to the role of refereeing in 2011
• They should have being involved in recruitment, retention and training of referees, as well as referee themselves. The areas they could be involved in would include:
o Match day referee
o Executive Committee member
o Referee recruitment and retention
o Referees course provider and assessor
o Referees coach/development
Somebody involved in a number of these areas of refereeing would be an ideal candidate.

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* 1. Contact details of the individual you are nominating

Name: *

Address:

Suburb/Town:

State/Province:

Postcode:

Country:

Email: *

Contact Number: *

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* 2. Why do you feel this individual or club should win the Toyota National Volunteer of the Year

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* 3. History of service to the game and the community

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* 4. How has the individual been involved in the recruitment, retention and training of referees as well as being a referee themselves

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* 5. Your contact details

Name: *

Address:

Suburb/Town:

State/Province:

Post Code:

Country:

Email Address: *

Phone Number: *