THE HONG KONG SCHOOLS SPORTS FEDERATION
Hong Kong Island & Kowloon Secondary Schools
Regional Committee
Rising Star Athlete Award 2016-2017
Nomination Form (B)
(Submission Deadline: 19 May 2017, 5:00pm)
(Please tick only one sport for nomination)
□ Football
□ Netball
□ Table Tennis
Major/
□ Badminton
Nominating
□ Basketball
□ Handball
□ Rugby
□ Tennis
Sport:
□ Beach Volleyball
□ Hockey
□ Rugby Sevens
□ Volleyball
Division:
1
2
3
Open
PERSONAL INFORMATION
Name of School:
Name of Nominee:
(中文姓名):
Age after Last Birthday:
Gender:
C Grade Registration No.: SU-
Class Attending:
Academic Standard:
Excellent
/ Good
/
Fair
BOY / GIRL
/
Poor
Colour Photo
4cm x 5cm
Number of year/s studying in nominating school:
Capacity in School Sports Team: Captain / Coach/ Members / Others(Please specify) :
I.
I.
INFORMATION OF NOMINEE’S PERFORMANCE
[A] Inter-School Competition 2016-2017 in nominating sport:Event / Match
1st Round Win / Lose
Playing
Date
(Opposing team/player)
/ Final
(Scores)
Position
Ranking
Remarks
[B] All HK, Jing Ying, National Student Sports Games, Interport, Asian & International Competition in
nominating sport held by HKSSF:*Applications without supporting documents will NOT be considered.
(from 1 June 2016 to 19 May 2017)
Event / Match
Remarks /
Name of
1st Round Win / Lose Playing
Date Country
(Opposing
Ranking Attachment
Competition
/ Final
(Scores) Position
team/player)
No.
II.
Interport & International Competition in nominating sport:*Applications without supporting documents will NOT be considered.
(from 1 June 2016 to 19 May 2017)
Event / Match
Remarks /
Name of
1st Round Win / Lose Playing
Date Country
(Opposing
Ranking Attachment
Competition
/ Final
(Scores) Position
team/player)
No.
III. Local Competition in nominating sport:*Applications without supporting documents will NOT be considered.
(from 1 June 2016 to 19 May 2017)
Event / Match
Remarks /
Name of
1st Round Win / Lose Playing
Date Country
(Opposing
Ranking Attachment
Competition
/ Final
(Scores) Position
team/player)
No.
IV. Special Awards or Honours Received:*Applications without supporting documents will NOT be considered.
Date
Name of Award
(from 1 June 2016 to 19 May 2017)
Remarks /
Attachment No.
V.
Nominee’s Organizing Capacity in Connection with the nominating Sport:-
VI. Nominee’s Sportsmanship:-
VII. Other Information Recommended from the Nominating School:-
Date:
Signature:
Head of School
1.
2.
3.
4.
5.
6.
Please save the completed nomination form in ORIGINAL format with student name included
(e.g. Form B_marychan.doc) and the supporting documents in PDF or JPEG format with student name
included (e.g. marychan.pdf).
Email the (i) checklist and (ii) nomination form with the supporting documents to [email protected].
Post the (i) signed checklist (ii) signed nomination form, (iii) PowerPoint and Video Presentation saved in a
Compact Disc on or before 19 May 2017, 5:00pm. Late submission would not be accepted.
Nomination will not be processed unless ALL items on the checklist have been submitted.
An acknowledgement will be sent to you by email within 1 working day after receipt of your application.
If you do not receive any acknowledgement email after submission of application, please contact us at
2711 9182.