School name:

(required)

Address:

(required)

Town/suburb:

(required)

Postcode:

(required)

School Phone:

( ) (required)

( ) (required)

School email:

(required)

(required - may be approximate)

2. DETAILS OF PERSON SUBMITTING NOMINATION

Name:

(required)

Position/Role:

(required)

Contact Phone:

(required)

Contact Email:

(required)

3. AWARD CATEGORY

Please choose from the following:*

Please select one... A) Primary Canteen Manager (paid) B) Primary Canteen Manager (voluntary) C) Primary Canteen Voluntary Helper D) 'Most Improved' Primary Canteen E) Best Primary Canteen Idea of the Year F) Secondary/P12 Canteen Manager (Paid) G) Secondary/P12 Canteen Assistant (Paid) H) Secondary/P12 Voluntary Canteen Helper I) 'Most Improved' Secondary/P12 Canteen J) Best Secondary or P12 Canteen Idea of the Year

(required)

4. DETAILS OF PERSON BEING NOMINATED [not required for categories D, E, I or J]

Name of nominee:

Position of nominee:

SECRET NOMINATION?*

Yes No

* (If you tick "YES" for 'Secret Nomination', VSCA will do our utmost to keep this nomination secret until the 2009 Canteen of the Year Awards Ceremony.)

Nominee's Contact Phone:

(optional)

Nominee's Email:

(optional)

5. CITATION

Please tell us about this nominee (person, canteen or idea) and why they deserve an award:

6. [OPTIONAL] - SUPPORTING MATERIAL

VSCA invites you to provide supporting material for your nomination. This may include any documentation or images from your canteen or school, relevant to your canteen's operations.

Supporting material can be submitted in digital format (as computer files), in hard copy (on paper), or both.

Supporting material may be submitted at a later date but must reach VSCA on or before 5pm on Friday 15 October, 2010.

PLEASE NOTE: Any material submitted may be used in the awards ceremony, on the VSCA website and in any other VSCA documentation or publication.

1) Digital format

Supporting material may be submitted in digital format (ie, as computer files). In particular, we invite you to submit digital photos of your nominee or your canteen.

When we receive your nomination, VSCA will send you a Confirmation Email. To submit supporting material in digital format, click "Reply" when you receive the Confirmation Email, insert your digital photos or other computer files as attachments, then click "Send".

You may also send supporting material in digital format at any other time on or before 5pm on Friday 15 October 2010 by emailing vsca: awards@vsca.org.au

AND/OR

2) Hard copy format (on paper)

Supporting material may also be submitted in hard copy format (on paper) by posting to VSCA, PO Box 1035, Box Hill VIC 3128. Please please ensure each page or document sent is clearly marked with your school name and "Canteen of the Year Awards".

Supporting material can be submitted separately from your nomination, but must reach VSCA on or before 5 pm on closing date of Friday 15 October 2010.
Award nominations must reach VSCA no later than 5pm on Friday 17 September 2010.

7. PRINCIPAL'S DECLARATION AND SIGNATURE

Name of principal:

(required)

As part of the process of confirming your nomination, VSCA will ask your school principal to make the following declaration. Before submitting your nomination, please ensure your Principal is aware of the nomination and agrees to the following statement:

I have read the Conditions of Entry (click here). The information contained in this entry is to the best of my knowledge true and accurate.