Allan Sloan Young Citizen Community Service

2019 Nomination Form

This Award recognises the work of Allan Sloan who served as the Lions representative on ACSO/SCASA for 20 years. He devoted much of his life to Community Service. His chief service interests were in the care and life of children and young people, with particular involvement in projects concerned with childhood abuse and domestic violence.

The nominee does not have to be a member of a Service Club, nor does his/her community project need to be associated with a Service Club. 

Download word doc nomination form

Please provide FULL and ACCURATE Club Information

Name of Submitting Club:          

ABN:

Postal Address:

Email:

President’s Name:

Name of Contact Person:

Contact Phone No:

Name and Contact Details of Nominee:


Name:

Postal Address:

Email:                                        

Phone:


Details of Nominee’s Community Service: 

Please attach a brief summary (no more than 750 words) giving specific details of the nominee’s community service

All nominations must be received no later than Close of Business on 30th August 2019

Completed nomination forms should be emailed to

Peter Zander SCASA at applications@scasa.org.au

or by post to SCASA Nomination C\- PO Box 123, Park Holme SA 5043