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					                     RIVERINA SCHOOL SPORTS ASSOCIATION
                                SPORTS 'BLUE'

                                      NOMINATION FORM

NB Nominations may only be convener or school based. Under NO circumstances is the nominee
 to be notified of their nomination. If successful the school and nominee will be contacted by the
                                 Riverina School Sports Association.


Riverina Sporting Blues are to be awarded to those Riverina Representatives who meet the
following criteria:
      Represented Riverina, in the nominated sport, within the current year (exceptions may
        occur where the sports state carnival is held after the closing date of nominations).
      Has gained selection in a state or national schools team. Providing a official Riverina
        SSA team attended the state selection carnival. The number of blues per sport may be
        limited.
      Has won an individual event at the NSW CHS or NSW PSSA Championship or gained a
        1st, 2nd or 3rd place in an individual event at a National Schools Event.
      Has satisfied their manager/convener, school and Riverina Blues Committee that they
        are of a suitable standard in ability, commitment, dress, behaviour and attitude to be
        awarded a Riverina 'Blue'.
      Has through their efforts been a suitable role model for other Riverina students.


NOMINEE:                           .........................................................

SCHOOL:                            .........................................................

SPORT:                             .........................................................

PARENT/GUARDIAN'S
NAME:                              .........................................................

PRIVATE ADDRESS:                   .........................................................

                                   .........................................................

                                   .........................................................

All information forwarded to the Blues Committee will be treated in a confidential
manner.

All information should be forwarded to
Jason Wilesmith,
Riverina School Sports Organiser
P.O. Box 478 Wagga Wagga 2650 or
Fax: (02) 6937 3875.
SCHOOL BASED DOCUMENTATION

Whilst using the listed criteria to address your responses, also include information about the
nominee's general school endeavours and sporting achievements outside the nominated sport,
and other achievements outside the school.

PRINCIPALS COMMENT:
............................................................................................................................................................
............................................................................................................................................................
............................................................................................................................................................
............................................................................................................................................................
............................................................................................................................................................
Supporting Signature.............................. Date ......./....../......


SPORTS ORGANISER'S COMMENT:
............................................................................................................................................................
............................................................................................................................................................
............................................................................................................................................................
............................................................................................................................................................
............................................................................................................................................................
Supporting Signature.............................. Date ....../....../......


SCHOOL SPORTS COACH'S COMMENT:
............................................................................................................................................................
............................................................................................................................................................
............................................................................................................................................................
............................................................................................................................................................
............................................................................................................................................................
Supporting Signature............................ Date ....../....../.......


This information, for successful nominees, will be forwarded to the sports
convener/manager to form the basis of a citation to be read out at the Riverina Blues
Presentation Dinner.
RIVERINA TEAM MANAGER / CONVENER BASED DOCUMENTATION
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
……………………………………………………………………………………………............................
NOMINEE’S SPORTING QUALITIES THAT BROUGHT ABOUT STATE SELECTION
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
……………………………………………………………………………………………............................
NOMINEE’S PERFORMANCE AT STATE OR NATIONAL LEVEL
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
……………………………………………………………………………………………...........................
NOMINEE’S PERSONAL QUALITIES THAT MAKE HIM/HER A WORTHY RIVERINA BLUES
RECIPIENT
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………......................
NOMINEE’S PREVIOUS RESULTS AT STATE CARNIVALS (NEW CONVENER/MANAGERS
MAY NEED TO CONTACT THE PAST CONVENER/MANAGER FOR THIS INFORMATION)
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………......................
Where a sport has more than one nominee please rank the nominees in order of preference
(1 being the highest ranking).


Ranking      ………………….


Supporting Signature: ……………………………………………. Date:.........../……../……..

				
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