Nomination Form - Volunteer

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:-

1. Young Volunteer of the Year

2. Volunteer of the Year

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* 2. Nominee Details

Name of Nominee

Club

Sport

Address

Postcode

Phone Number

Age

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* 3. Nominator Details

Name

Address

Postcode

Phone Number

Capacity in which nominee is known to you

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* 4. Briefly describe the voluntary/coaching activity carried out by the nominee from Sept 2019 to August 2021 (include what specific roles the individual holds within the club/school)

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* 5. Please describe the impact that the nominee has made to an individual, team, club or community from Sept 2019 to August 2021 during the COVID-19 pandemic (we are looking for individuals who have used the power of sport to make an impact during the pandemic)

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

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

I confirm

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* 8. 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

Yes