nomination form

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OUSA
BLUES AWARD 2013
For achievements from 1st August 2012 until 31st July 2013
In order to reward excellence and involvement in sporting pursuits at the University of Otago, the Otago
University Students’ Association (“OUSA”) has instituted annual University of Otago Blues and
associated awards.
(OUSA Blues Policy 2011)
The Blues began in 1829 with the first Boat Race between Oxford and Cambridge Universities in England.
The Oxford crew was dominated by students of Christ Church, whose college colours were dark blue.
They thus wore white shirts with dark blue stripes, while Cambridge wore white with a pink or scarlet
sash. At the second race, in 1836, a light blue ribbon was attached to the front of the Cambridge boat,
probably as it was the colour of Eton. These colours — light blue for Cambridge and dark blue for
Oxford— became the official colours of the two boat clubs and, through the rivalry of the Boat Race,
became inextricably linked with the universities and contests between the two.
Sportsperson of the Year Award - this award dating back to 1960, recognises the most outstanding
sportsperson at Otago University for the year.
Maori Sportsperson of the Year Award - this “taonga”, first awarded in 2000 recognises the most
outstanding Maori Sportsperson at Otago University who has best represented Maori through his or her
performances in top level sport.
Nominees must:
be enrolled at the University of Otago
be an OUSA member* during the qualifying period
have no outstanding debts to OUSA
To Nominate: Complete the attached Nomination Form and return to the
Clubs Development Officer
Clubs and Societies Centre
84 Albany Street
Dunedin
Only Supporting documentation may be attached and this must be in print form only.
The nomination will not be considered unless the nomination form is filled out in full.
Please note: Nominations must come from an authority in the chosen sport. Friends and family may not
nominate individuals for the awards and will not be considered by the Blues Panel.
Closing Date
Friday 2nd August 2013 at 5.00pm
Assessment of Nominations
The OUSA Blues Panel meets within 2 weeks of the closing date. Letters are sent to all nominees with
regards to the outcome of the nomination.
Blues Award Ceremony
The Blues Awards Ceremony will be held in the OUSA Aquatic Centre, 65 Magnet Street, Harbour Reserve
on Thursday 26th September 2013.
PLEASE DETACH THIS SHEET BEFORE SUBMITTING NOMINATION FORM
*all students enrolled at the University of Otago are automatically members of the Otago University Students’
Association (OUSA).
OUSA BLUES 2013
NOMINATION FORM
Name
(As will appear on Award)
____________________________________________________
Address
____________________________
Mobile
_____________________________________________________
E-mail
_____________________________
Student ID
_________________________________
Sport
_____________________________
Date of Birth
______________
Male/Female
Ethnicity
Maori
Iwi
NZ/European
Other
Academic Achievements From 2012/2013 Only
Degree: _____________
Major: ___________
Year of Study: ________
Final Year of Study
Papers Passed/ Average Grade
Yes/No
Year
OUSA Club Details
I am a member of an OUSA Affiliated Club
___________________________________
Name of Club
I am NOT a member of an OUSA Affiliated Club
But I am a member of this club
State the reason why not a member of an OUSA Affiliated Club:
___________________________________
Name of Club
________________________________
____________________________________________________________________________________________
Relevant Sporting Details From 2012/2013 Only
Regional Representation in this Sport (include ranking)
Sports Performances
Date
New Zealand/ New Zealand Universities Representation in this Sport (include ranking)
Sports Performances
Date
Waiver (nominated athlete only)
I understand that I am being nominated for a 2013 OUSA Blue and I authorise my name, voice, or picture,
and any other information given on this form to be used without payment in any broadcast, telecast,
advertising, promotion, or in any other way relating to this event. In addition, Otago University Students’
Association has my permission to gain access to my academic results for the year of my nomination for an
OUSA Blue. I certify that the information provided in this nomination is true and correct. I understand that
incorrect, misleading, or omitted information may result in my nomination for an Award being rejected, or if
discovered subsequent to conferral may result in my Award being revoked.
___________________________________________
Signature of Nominee
Nominated By:
Seconded By:
___________________________
Date
_________________
___________
_________________
Name
Signature
Relationship to Nominee
__________________ ___________
_________________
Name
Relationship to Nominee
Signature
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