WOC 2006 Australian Team Nomination Form

I wish to be considered for selection in the Australian team for the World Orienteering Championships 2006 in Denmark and declare that I am available to attend the World Orienteering Championships and Australian team commitments if selected.

A. Contact Details

1. NAME:  

2. EMAIL:  

3. TELEPHONE NUMBERS:
	Home:  
	Mobile:  
	Overseas (if applicable):  

4. ADDRESS:  

B. Preferred Races

Please indicate the races for which you wish to be considered, and for those races, your preferred priority.

Race	To be considered for ?
(Y/N)	Priority
(1,2 etc)	
Sprint			
Middle			
Classic 			
Relay			

C. Selection Trials

5. Do you intend to compete in the Australian selection trials (all days of Easter 2006, plus the Australian middle distance championships ?) (Y/N):  

6. If not, why not:    

7. Do you wish to be notified of overseas selection races ? (Y/N)   

D. Past Form
The selection criteria identifies the races that the selectors will consider when examining ‘past form’ and which races have a greater importance. Once we receive nominations we will be compiling a list of results for each nominee (over, at a minimum, the past 2 years) using information from the Australian ranking system and other external sources (World Cup, World Championships, Park World Tour web sites etc).

However, you should provide below
•	results from any relevant races which we may not be able to pick up from the above sources
•	any relevant matters you wish to make the selectors aware of regarding your performance in any of the races 
Date	Race	Result	Comments	

				

				

				

E. Other
Please provide any other relevant information which you think the selectors should be aware of when considering your nomination:

Please return this form either by email to paul.liggins@au.pwc.com or by fax to 03 8613 2624 (no need to put a cover sheet on it). Please ensure it is returned by:
•	5 March, if you intend to attend the Australian selection trials
•	8 February, if you do not intend to attend the Australian selection trials