Nomination Form

South West

SPORTS UNSUNG HERO 2007 NOMINATION FORM

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Process of nominations • All nominations must come from the public. • No nominations will be accepted from companies. • The closing date for nominations is Saturday 3rd November 2007. (The address to post the completed nomination form to as at the bottom of the form) The criteria for Nomination. • Nominees cannot nominate themselves – or be nominated by a member of their immediate family. • Nominees must be 16 years or over on 1st January 2007 (there is no upper age limit). • Nominees must actively help others participate in sport at any level. • They must do so on a voluntary basis - without any financial reward. They can recover expenses, but nothing over and above that) • Those being helped must be amateurs. • It cannot be part of their job – it cannot take place within their normal work place or facilities. • Those being nominated must not be a playing participant in the sporting group they are helping. • The Sports Unsung Hero must be an individual. • They cannot have won any previous BBC Sports Unsung Hero Award. • Employees of the BBC, BBC Worldwide and Robinsons, as well as their immediate families, are not eligible for nomination.

Details of Person You are Nominating • Please ensure your nominee knows of and consents to your plan to nominate them Their name :- Age :- Their address (1st Line) :- (2nd Line) :- Town/City :- Post code :- Their phone number (home) :- (work) :- (mobile) :-

Details of Club / Person your Nominee helps Name of Club/Individual :- Mode of Sport :- Address of Club/Individual (1st Line) :- (2nd Line) :- Town/City :- Post code :- Phone Number :- (If Club) Name of Manager/Secretary :- Their Phone number :-

Your Details Your name :- Your address (1st Line) :- (2nd Line) :- Town/City :- Post code :- Your phone number (home) :- (work) :- (mobile) :-

Please state where you learnt about the Sports Unsung Hero

Explanation for Nomination Please use this section to outline why you feel this person deserves to be recognised as a Sports Unsung Hero. Please give examples which demonstrate their dedication to enable others to participate in sport – how long they have been involved, how much time they give up on a weekly basis; who and how many people they have helped; how they have helped them; evidence of how their efforts have improved sports participation; how their efforts have benefited others in the community and do they work alone or as part of a team – and if as part of a team – what makes them stand out.

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Testimony of those ‘enabled’ Please use this section to provide testimony from those who have been ‘enabled’ in the past or currently, please include their name address and contact details.

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Please return Entry Form/s to:-

BBC South West Sports Unsung Hero, Broadcasting House, Seymour Road, Manamead, Plymouth, PL3 5BD

CLOSING DATE IS :- Saturday 3rd November 2007