<p> Soldier On National Ski Camp, Comox, British Columbia, Canada 28 January – 3 February, 2018 Nomination Form</p><p>Please return completed nomination form to [email protected] by 5pm, Monday 27 November, 2017.</p><p>Full Name Date of Birth Email Address Contact Telephone Number Postal Address Service Number Year of Enlistment Year of Discharge</p><p>Service Army Navy RAAF Other (please list) </p><p>Operational service Yes No</p><p>Are you a member of the RSL (please note membership is not a requirement for selection) Yes No If yes which Sub Branch are you a member of: You must have a permanent physical and / or mental health injury / illness to be eligible to nominate. Please provide a summary of your condition/s. </p><p>What are some of the activities you have undertaken so far, or intend to undertake in the future, to aid your rehabilitation, recovery, and reintegration?</p><p>How would this camp contribute to your recovery, rehabilitation and reintegration? What outcomes would you hope to achieve by participating in the camp?</p><p>Please indicate any snow sports experience (snow sports experience not required to nominate) Never Beginner Intermediate Advanced Skiing Cross Country Skiing Snowboarding</p><p>Have you been involved in a similar activity in the past, eg Invictus? If so, briefly list details. </p><p>Is there any other information you wish to provide in support of your nomination? </p><p>I have attached a letter/s of support from my health professional/s confirming by ability to travel to and from Canada, and participate in these activities.</p><p>By ticking this box, I confirm that I have provided full and honest answers and disclosures within this nomination form and agree to the nomination and selection conditions. </p><p>NOMINATION AND SELECTION CONDITIONS</p><p>I fully accept and acknowledge that;  Selection will be determined by a panel which will comprise RSL, and health professionals.  The panel will make a decision on who they feel will benefit most from participation.  The decision of that panel is final. No further correspondence will be entered into.  I am of good character and standing with no outstanding civilian or military charges in progress.  Training will occur IAW MELs and be fully adaptive in nature. Due to busy activity schedule, applicants must have a limited requirement for rest throughout the day.  Participants will be joined with other ill/injured members and civilians, and therefore should be able to function in a social environment.  Meals and accommodations for this event may be located at Canadian Armed Forces bases/facilities, and thus they may be exposed to a day-today military environment.  There will be no alcohol allowed in the accommodations.  Participants may be required to share accommodations.  Participants will require a valid passport in time to travel.  Participants will be required to fly on dates determined by RSL Victoria. </p>