Self Nomination Form

ITF Hall Of Fame – Self Nomination Form

Name of nominee*
Prefix First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Date of Birth or nominee*
DD slash MM slash YYYY
Rank of nominee*

State degree or gup
School Name and Location*
National Association Name*
Upload copy of highest grading certificate*
Accepted file types: pdf, jpg, gif, png, Max. file size: 2 MB.
Upload recent passport type photo*
Accepted file types: jpg, gif, png, Max. file size: 2 MB.
Category of Nomination*
- Lifetime Contribution Award
- International Ambassador Award
- Outstanding Athlete / Coach Award
- Indomitable Spirit Award
- National Team Representative Award
NOMINATIONS CLOSE 24th MARCH
Nomination Fee
Supporting Statement (minimum 200 words)*
Outline of why you should be considered for this category.
Upload detailed training history, milestones and achievements*
Accepted file types: pdf, msword, Max. file size: 50 MB.
Name, rank, position and contact details of 3 referees*
ITF Hall Of Fame Banquet (12 years & over) Quantity
Price: $ 0.00
EARLY BIRD PRICE EDS FEBRUARY 28th The 5th Australasian ITF Hall of Fame ceremony will be held online on Saturday 22nd April, 2023
ITF Hall Of Fame Banquet (Under 12 years) Quantity
Price: $ 29.99
EARLY BIRD PRICE EDS FEBRUARY 28th The 5th Australasian ITF Hall of Fame ceremony will be held online on Saturday 22nd April, 2023
Total
$ 0.00