Mike Stidwell Medal for Outstanding Contribution to Sport Administration

Nomination form

Complete the online form below or download the nomination form.


  • Residential status – currently resides in the Great Southern region or has resided within the region within the past two years.
  • Nominations must be endorsed by a recognised regional sport or recreation club or group, prior to submission (through copy of minutes, letter of endorsement).
  • Nominations must be received by the close of business on Friday 31 March 2017.
  • Nominees must have been predominantly involved in a sport and recreation club or group in a volunteer administrative role/s. However, it acknowledges the reimbursement of volunteers contributions and the trend towards paid-professional remuneration is accepted and should be encouraged, eg honorariums.
  • Previous nominators may be invited to re-submit their nominees for the following year. This acknowledges the valued contribution often made over more than a single year.
  • Additional information or clarification can be requested by the selection committee, if they deem it is required.

Person nominating

All fields are required.


Administrative performance

Committee endorsement

File to upload
Committee endorsement minutes or letter must be submitted with the nomination. Document file types accepted: pdf, doc, docx, ppt, pptx, ppsx, xls, xlsx.