Sports Awards Nomination Form

Details Of Nominee
Nomination

Please state in approximately 250 words why you feel this person/team/club/school should win
the award nominated for. The nomination should reflect the hard work and dedication
contributed throughout the year(s). Please continue or separate sheet if necessary.
Please include information on the following, where applicable to the Award:

Sporting achievements/highlights throughout 2012
For example: Nominee has been selected to represent Midlands District and was
inducted into the Area Institute of Sport this year.
How many hours the nominee is involved per week
For example: Nominee assists with coaching 3 hours per week and officiates as the club
representative every weekend.
How many years they have been involved in their sport
For example: Been involved with the Club for 10 years and prior to that worked with
(Club Name) for 3 years.
Any hurdles the nominee has overcome
For example: The Club lost 4 of their committee half way through the year, were able to
identify and co-opt 3 new members on to committee, and completed Development Level
of ClubDundee in timescales that had been previously set.
Any additional information
For example: Outline any additional Voluntary Duties carried out such as sitting on
Local Development Groups, fundraising for Club, additional Coaching duties or how the
nominee has helped others within their sport.

Nominator
Referees

Please give details of 2 referees who can verify that the information is accurate

Referee 1
Referee 2