Tick the category (one only) for which the nomination is being submitted. One tick is to be used for each nomination.
Insert the first and last name of the Nominee.
Enter best contact number for the nominee.
Enter the email address of the nominee.
Insert the name of the person who correspondence should be addressed to if different to the nomination.
Insert the contact phone numbers of the nominator so that they may be contacted by Surfing Australia if there are any questions regarding the nomination.
Insert the email of the nominator so that they may be contacted if there are any questions regarding the nomination.
Include reasons why the Nominee has achieved a level of excellence greater than that of their peers, warranting them being the recipient of an award. Refer to nomination guide (link at top of page) for specific category factors to consider.