Nomination Form - High Performance

I understand the shortlist panel can only take into consideration and therefore make their decision based on the information provided on this application only.

Question Title

* 1. Award Category:-

High Performance Coach of the Year

Question Title

* 2. Nominee Details

Name of Nominee

Club

Sport

Address

Postcode

Phone Number

Question Title

* 3. Nominator Details

Name

Address

Postcode

Phone Number

Capacity in which nominee is known to you

Supporting Details
Please list the top three achievements of individuals/teams that the nominee has coached from Sept 2019 to August 2021

Question Title

* 4. Achievement 1

Name of individual/team

Name of Competition

Position (e.g 1st, 2nd 3rd)

Date of Competition

Venue of Competition

Question Title

* 5. Achievement 2

Name of individual/team

Name of Competition

Position (e.g 1st, 2nd 3rd)

Date of Competition

Venue of Competition

Question Title

* 6. Achievement 3

Name of individual/team

Name of Competition

Position (e.g 1st, 2nd 3rd)

Date of Competition

Venue of Competition

Question Title

* 7. What coaching qualifications does the individual hold?

Question Title

* 8. Briefly describe the coaching activity carried out by the individual from Sept 2019 to August 2021 (include what specific roles the individual holds within the club/school)

Question Title

* 9. Please describe the impact that this individual has made to an individual, team or club from Sept 2019 to August 2021

Question Title

* 10. Please use this section to provide further details on why you think your nomination is worthy of winning the award.

Question Title

* 11. I confirm that the information given is correct, to the best of my knowledge

I confirm

Question Title

* 12. I am happy for the information on this nomination form to be used in any publicity for the award, eg, press notices, social media, websites

Yes