2021 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.
Please provide FULL and ACCURATE Club Information
Name of Submitting Club:
Name of Contact Person:
Contact Phone No:
Name and Contact Details of Nominee:
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 31st August 2021
Completed nomination forms should be emailed to
Peter Zander SCASA at email@example.com
or by post
to SCASA Nomination C\- PO Box 123, Park Holme SA 5043