2019 Sports Achievements Awards - Candidate Nomination Form

Please read the instructions before you fill in the form.

Categories:

Please specify the category or categories most suitable for nominee. Final categories will be decided by the Adjudication Panel:

Junior: under 15
Intermediate: under 19
Senior: 19 or over

Service to Sport

If appropriate, the Adjudication Panel will select an outstanding nominee for the Service to Sport Award.

Candidate's details

Candidate's full name:
Sport:
Suggested category:
Sports Club:
Age (as of 31st December 2019): (if nominee is over 20, a rough guess is adequate) :
Date of Birth: (only mandatory for age related categories) :
Telephone:
Email:

Nominator's details

Name of Nominating Official:
Name of the club of the person submitting the nomination:
Telephone:
Email:

Reason for nomination

It will assist the Adjudicators if you provide thorough, clear and concise information:

Achievements (if applicable)

Level of Achievement Details of achievements
 

Any questions, please contact Sarah Willis on info@iowsports.org.

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