Roll of Honour Nomination Form

Name of nominee

Photographic qualifications (if any)

Full name of nominee’s club

Date joined club (approx if not known)

Is the nominee still an active club member?(required)

Yes

Roles held (and timescales if known)

Please list any roles and approx dates

Relevant external roles

Has the nominee held any external photographic roles that may be relevant to this nomination e.g. for a prior club, or as a federation rep or judge?

Personal statement

Personal statement of reasons for nominations: (There are no right or wrong answers, but please supply as much information as you can regarding dates and length of service and roles undertaken.)

Proposer’s name

Proposer’s email(required)

The application will be considered at the next council meeting and you will be advised shortly afterwards of the decision.

Name of Seconder (1)

Email of Seconder (1)

Name of Seconder (2)

Email of Seconder (2)

Type the characters(required)

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