Queensland Sport Hall of Fame Nomination

"*" indicates required fields

Date*

Category*

Nominee Name*

First Last

Nominee Email*

Nominee Phone

Nominee Date of Birth*

Nominee Date of Death

(if applicable)

Date of Retirement (top level competition)

(if applicable)

Nominee's Major Career Achievements*

Outstanding sporting achievements and/or contribution to sport made by the nominee. Please list in chronological order.

Impact of Nominee's Achievements/Contribution*

Describe the impact that these achievements/contributions have had on the nominee’s particular code of sport. Explain how these achievements/contributions position the nominee in the history of Queensland sport. You may also comment on how the nominee has influenced the sporting community and inspired the general public.

Other Recognition of the Nominee

List any awards granted to the nominee both within and outside the sporting fraternity, including honours and the dates these were made.

Nominator Name*

First Last

Nominator Email*

Nominator Phone

Queensland Sport Hall of Fame Nomination

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