Life Membership Nomination

Nominee Name

Nominated by

Date Nominated

Email Address

Phone Number

Tell us how the nominee demonstrates dedication to the values of the Deniliquin FNC…

Examples of sportsmanship, respect, fairness and integrity…

Describe how the nominee has shown leadership within the club…

Length of Service, eg 18 years…

Primary areas of service Primary areas of service Player Coach Manager Administration / Committee General Active Volunteer Other (please explain below)

Describe the nominee's length and continuity of service (outline the years and roles the nominee has held)…

Playing Achievements…

Coaching / Managing Achievements (Teams coached, mentoring, player development, premierships, volunteer coaching roles)…

Administration Achievements (Committee roles, executive positions, fundraising, governance, projects completed)…

General Active Volunteer Achievements (Canteen, gate, bar, working bees, maintenance, events, sponsorship, behind the scenes contribution)…

Active Involvement in the Club (attendance at club functions, willingness to take on tasks, support for volunteers, overall contribution to keep the Club running)…

Anything else the Life Membership Committee should consider?…

Confirmation Confirmation I confirm the information provided in this nomination is true and accurate to the best of my knowledge