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

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* 1. Award Category:-

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* 2. Nominee Details

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* 3. Nominator Details

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

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* 4. Achievement 1

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* 5. Achievement 2

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* 6. Achievement 3

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* 7. What coaching qualifications does the individual hold?

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* 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)

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

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

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

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* 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

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