Individual Nomination Form
This form is to be completed and submitted to the AICES Executive Officer by the student's school.
NO applications submitted by students will be accepted.

Students first name
Students last name
Date of birth of student
Year at school
AICES Association
Please select your association.
School
Please select your school.
Sport
Gender
Age Group

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(please select which sport)
(please select which age group)
Please enter the information below to confirm knowledge of dates and locations
Trial date Venue
Name of person submitting form
Email address of person submitting form
Security code
This is provided by the AICES Executive Officer. If the correct code is not provided entry will not be accepted.
School phone number
Please enter the school phone number in case you need to be contacted directly.
School fax number
Please enter the school fax number.

Please complete the following as appropriate to the sport concerned. If not appropriate, leave blank.

* Preferred position
First choice
Second choice
Representative playing/umpiring/refereeing history (if applicable)
(This is very important for any cricket nominations)

* Cricket nomination only
 
Batting

Bowling

Wicketkeeper

I have read the AICES guidelines and nomination information and specific requirements for the sport on the AICES website for which the student is being nominated. I have obtained the permission of the school principal and the named student’s parents/guardians to attend the trials and have informed them of all information.

, I have not obtained permission