ROSS LIPSON AWARD NOMINATION FORM Please enable JavaScript in your browser to complete this form.Your name *FirstLastYour email *Relationship to the applicant *Self nominationRelativeFriendColleagueFanOtherName of person you are nominating *Nominees email *In addressing each criteria, please outline in detail how the applicant demonstrates the qualities / skills / actions required giving the background / context, timeframe/s and any relevant evidence of excellence and working with individuals or groups. Please confirm that the following apply to your nomination. *A Barwon South West Resident (Geelong/Surf Coast/Bellarine)FemaleTell us how your nomination has shown excellence in any music industry area (Performing, Management, Audio, Promotion, Teaching, Admin etc.) *Explain how your nomination promotes and supports the local music industry *Describe how your nomination actively gives back to youth in the area (e.g. by sharing knowledge and skills / donating time etc.) *Anything else you would like to add?CommentSubmit