East Midlands SPORTS UNSUNG HERO 2007 NOMINATION FORM Proudly supported by 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. ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... 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. ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ............................................................................................................................................................................................................... ..............................................................................................................................................................................................................