Outstanding Athlete Nomination Form

Remember: the Selection Committee does not know your nominee at all, so please answer each and every question with as much detail as possible.
Nomination deadline is January 13, 2017.
Please complete all fields before you submit the form.

Name of Nominee (person you are nominating for the award)

Address (including city and postal code) of Nominee

Phone Number of Nominee

Name of Nominator (you)

Phone Number of Nominator

Did the nominee register and participate in a recognized competitive sport in the past year? (Individual or Team)(required) Yes

Has the Nominee been recognized by the team, sporting organization, or school?(required) Yes

Tell us how he/she is a role model.

Tell us how he/she is a role model for excellence in a specific sport.

Tell us about his/her volunteer work.

Tell us when this person lived in the region and for how long.

Please explain why your candidate qualifies for this award IN AS MUCH DETAIL AS POSSIBLE.

Regional Aboriginal Recognition Awards