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Hall of Fame Award Nomination 2019

2017 Hall of Fame recipient Liam Kelly with 2015 Hall of Fame recipient Tom Quinn

‘Celebrating Voluntary Activity in Community Life in Ballinasloe’

Hall of Fame (Lifetime Achievement) Award Nomination Form

This category recognises individuals from Ballinasloe whom have achieved excellence and are successful in the field of either sporting, professional, business, entrepreneurial or artistic endeavours.

You can either download the nomination form here and email or post it back using the contact details at the end of this page or you can submit your nomination directly below:

Deadline for receipt of Nominations is 5pm Thursday 10th October 2019

Hall of Fame Nomination Form

Section A

Section A: Details of the Person being nominated for this Award. All sections MUST be completed.

Please provide full contact details as all shortlisted Nominees will be informed of their nomination and invited to the Awards Ceremony.

* Indicates required field

Name of Nominee *

Email of Nominee *

Mobile Number of Nominee *

Postal Address of Nominee *

Photo of Nominee *

Max file size: 20MB

Q 1: Please give details of achievements, commitment, dedication, lifestyle and the many solid reasons you have nominated this person (50 Marks) *

Q 2: Describe the difference this person has made to the community (25 Marks) *

Q 3: Outline why you believe they deserve to be nominated into the Ballinasloe Hall of Fame (25 Marks) *

Section B

Section B: Details of Person making the nomination. Full details must be submitted.
Note: both the nominee and the nominator will be invited to the Awards on the 14th November, however the nominee will not be informed by the POTY Committee who nominated them.

Full Name, Address, Email and Mobile of Nominator *

I consent to BACD using my email address to contact me in relation to this nomination. *

Yes No

Submit

How do I Nominate?
1.There is one nomination form for each category. Please visit this page for the full list.
2. You can make a nomination by either downloading the nomination forms on this page and emailing or posting it back. You can ALSO nominate a person/group directly from the category page. See this link for full list of categories
3. Read the questions carefully. Section A is information regarding the group or person being nominated. Section B is information regarding the persons making the nomination..
4. You may submit extra information. The assessment will be based on the information provided on the form and any extra information given.
5. All nominees must be nominated for volunteering work undertaken only. Any paid roles will not be considered.
6. Closing date for receipt of nomination forms is 5pm October 10th