Sport Wales Awards

Nominate

Wales Sport Awards nomination form

Nominator Details
  Full name:
  Address:
  Postcode:
  Contact number:
    Email:
  Relationship to nominee:

Nominee Details
  Full name:
  Address:
  Postcode:
  Contact number:
    Email Address:
  Date of Birth:
  Sport:
  Club/organisation:
  Current Coaching/
Volunteering role:
  Number of years active
as Coach/Volunteer:
  Level of athletes coached (coaching awards only) e.g. school, community, regional, international:
  Any awards/recognition received during the past 12 months. Please give details:

CATEGORY SELECTION
 

The next section is your opportunity to explain why you feel the nominated person is worthy of the selected award. You might like to include details of when they have inspired others, made a difference, or gone the extra mile in their role.

ACHIEVEMENTS
1. In 100 – 400 words please detail the key achievements of the nominee between 1st September 2013 and 31st August 2014.  
Please note: What have been the nominee’s best achievements during the past 12 months? (please refer to guidance notes)
You may use bullet points, and facts and figures should be included where possible.


IMPACT
2. In 100 – 400 words please tell us what impact the nominee has made between 1st September 2013 and 31 August 2014.  

QUALIFICATIONS AND DEVELOPMENT
3. Please list the nominee’s qualifications and any evidence of how they have developed their skills and kept up to date with personal development.  

DEDICATION
 On average, how many hours does this nominee spend coaching each week?
 Please indicate if their role is:


ADDITIONAL SUPPORTING INFORMATION
You may use this space to tell us in no more than 400 words why this coach/volunteer should win the award.

DECLARATION
I confirm that the details given in this nomination are accurate
  Name:
  Date:
If nominee is under 18 parental/guardian consent is required:
Name of Parent/Guardian:
Date:
Contact number:
I confirm that I have read and understand the terms and conditions of the awards.