Isle of Wight Sports and Recreation Council

Sports Achievement Awards 2015

Please read the attached form re-categories and the example of a completed form as guide to completing the Nomination Form

PREFERRED CATEGORY ……………… …… Please nominate worthy candidates even if they do not appear to fit a particular category.

CANDIDATE’S DETAILS Surname ………………………………………… Forenames……………………………………….. Address ……………………………………………………………………………………………… ……………………………………………………………………………….. Post Code …………………… Date of Birth………… ………… Telephone…………… E-mail…………………………………………

ACHIEVEMENTS DURING 2015 (or over the past years for Service to Sport Category) Please confine Reasons for the Nomination to 150 words. Specific details to be recorded overleaf.

REASON FOR NOMINATION

………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… NAME OF NOMINATING CLUB ………………………………………... Name of nominating Official (Printed please) ………………………………. Signature…… ………………………… Official Position. …………………….. Isle of Wight Sports and Recreation Council Address …………………………………………………………………………………………………………. ……………………………………………………………………………Post Code …………………………. Telephone No: ………………………………. e-mail: ………………………………………………….

Sports Achievement Awards 2015

The Nominating Club is requested to provide fuller details of specific achievements in 2015 be they at Club Level, County/Area/Regional level, National or International Level. Equally let us know of achievements/service that may not be reflected in prizes, ratings or awards. All these are the criteria on which the Adjudicators will base their assessment.

CLUB LEVEL ……………………………………………………………………………………………………….. ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… COUNTY/AREA/REGIONAL ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… NATIONAL ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… INTERNATIONAL LEVEL ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… OTHER SPECIFIC ACHIEVEMENTS OR SERVICE DESERVING OF MENTION ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… Isle of Wight Sports and Recreation Council ………………………………………………………………………………………………………… . ………………………………………………………………………………………………………… Please return this form by 31 st December 2015 including a photo of the nominee suitable for printing in the County Press. By email to: [email protected] By Post to: Susie Sheldon, Kings Manor, Freshwater, PO40 9TL (Tel: 01983 756050)

CATEGORIES: please nominate worthy candidates even if they do not appear to fit into any particular category.

JUNIOR BOYS JUNIOR GIRLS INTERMEDIATE BOYS INTERMEDIATE GIRLS SENIOR MEN SENIOR WOMEN MASTERS MEN MASTERS WOMEN DISABILITY JUNIORS DISABILITY SENIORS

JUNIOR TEAM INTERMEDIATE TEAM SENIOR TEAM

NATIONAL/INTERNATIONAL Sportsman/woman (The nominee may well no longer live on the IOW because the pursuit of their sport has required them to live elsewhere.)

COACH OF THE YEAR CLUB VOLUNTEER SPORTS OFFICIAL Isle of Wight Sports and Recreation Council SERVICE TO SPORT

All nominees will receive a certificate acknowledging their nomination for an AWARD. Finalists will receive their awards at the Awards Ceremony on March 11 th 2016.