2019 Dundee Sports Awards Nomination Form | Leisure and Culture Dundee

Details Of Nominee

Name *

Address *

Telephone *

DOB *

Day

Month

Year

Sport *

Title Of Award Nominated For *

Nomination

Please state why you feel this person/team/club/school should win the award nominated for. The nomination should reflect the hard work and dedication contributed throughout the year(s). Please include information on the following, where applicable to the Award:

Sporting Achievements/highlights throughout 2019 (approx. 100 words)
For example: Nominee has been selected to represent Midlands District and was inducted into the Area Institute of Sport this year.

How many hours the nominee is involved per week (approx.) *

How many years they have been involved in their sport (Lifetime Commitment Award only) *

Any hurdles the nominee has overcome (approx. 100 words)
For example: The Club lost 4 of their committee half way through the year, were able to identify and co-opt 3 new members on to committee, and completed Development Level of Club Dundee in timescales that had been previously set.

Any additional information (approx. 100 words)
For example: Outline any additional Voluntary Duties carried out such as sitting on Local Development Groups, fundraising for Club, additional Coaching duties or how the nominee has helped others within their sport.

Nominator

Name *

Organisation/Club *

Address *

Telephone *

Referees

Please give details of 2 referees who can verify that the information is accurate

Referee 1

Name *

Address *

Telephone *

Referee 2

Name *

Address *

Telephone *