2012 CWSA Awards
Application Form
Name of Award
Brief Description
Stan Stronge Memorial Award
Athlete with Fair Play and Dedication to Excellence
Dr. Robert W. Jackson Award
Years of Dedication and Contributions as a CWSA volunteer
Rick Hansen Award
Growth and Development of Wheelchair Sports
CWSA Volunteer of the Year
Volunteer of the Year
Stéphan Dubuc Memorial Award
Coach of the Year
Doug Grant Memorial Award
Team of the Year
Female Athlete of the Year
Female Athlete of the Year
Male Athlete of the Year
Male Athlete of the Year
CWSA Service Recognition Awards
5-year interval awards for long-time service to the CWSA
Application
Contact Information:
Nominee and Nominator Info
Contact Information / Confirmation
Nominee
Nominating Group / Individual
Address of Nominator
Telephone of Nominator
Fax of Nominator
Signature of Nominator
Send your nomination(s) to our Awards Committee at the:
Canadian Wheelchair Sports Association
2255 St. Laurent Blvd, Suite 108, Ottawa, ON, K1G 4K3
Tel: (613) 523-0004; Fax: (613) 523-0149, E-mail: [email protected]
Please attach all supporting documents to this page
TO A MAXIMUM OF TWO ADDITIONAL PAGES PER NOMINATION. DEADLINE = November 5, 2012
Award Descriptions:
Name of
Award
Nature and Intent of Award
Criteria
The contribution must be made in the
capacity of an athlete from October 1,
2011 – September 30, 2012.
Stan Stronge
Memorial
Award
The Stan Stronge Memorial
Award for an outstanding athlete
is awarded to the athlete whose
qualities of fair play and
dedication to excellence
exemplify the spirit of Stan
Stronge, who dedicated a lifetime
encouraging and mentoring
young athletes to succeed in
wheelchair sport.
The Dr. Robert W. Jackson
Award for outstanding volunteer
service is awarded to an
individual whose years of
dedication and contributions to
the Canadian Wheelchair Sports
Association exemplifies the
passion and spirit of Robert W.
Jackson, who committed a
lifetime to promoting and
developing wheelchair sports.
The contribution must be made in the
capacity of an administrator, delegate,
coach, or sport builder from October 1,
2011 – September 30, 2012.
This award, which recognizes
outstanding contribution to the
development of wheelchair sport
in Canada, is awarded to an
individual or organization, which
has been inspirational and
instrumental to the growth and
development of wheelchair sport,
illustrating the impact and
inspiration of the Man in Motion.
The contribution must be made in the
capacity of an administrator, athlete,
coach, delegate, sponsor or sport builder.
Please attach a brief
summary of the
nominee's achievements.
Will have made a significant contribution
to the development of wheelchair sport in
Canada, at the provincial, territorial,
national, or international level.
No more than two (2)
pages please.
This award is presented to
individuals who are actively
involved in wheelchair sports and
who have made significant
contributions to wheelchair
sports over the past year.
The nominee must be a volunteer and a
member in good standing with their
CWSA affiliated province or territory.
Dr. Robert
W. Jackson
Award
Rick Hansen
Award
CWSA
Volunteer
of the Year
Longevity of service is not a
criterion for this award.
CWSA
Service
Recognition
Awards
A CWSA Service Recognition
Award is given to those
individuals within the CWSA who
have contributed their time and
energy to the organization.
The athlete will have made a significant
contribution to the development of
wheelchair sport in Canada, at the
provincial, territorial, national, or
international level.
The individual will have made a significant
contribution to the development of
wheelchair sport in Canada, at the
provincial, territorial, national, or
international level.
Additional
Requirements
Please attach a brief
summary of the
nominee's achievements
during the period of time
indicated in the criteria.
No more than two (2)
pages please.
Deadline for nominations:
November 5, 2012
Please attach a brief
summary of the
nominee's achievements
during the period of time
indicated in the criteria.
No more than two (2)
pages please.
Deadline for nominations:
November 5, 2012
Deadline for nominations:
November 5, 2012
The nominee must have made a
significant contribution to wheelchair sport
from October 1, 2011 – September 30,
2012.
Please attach a brief
summary of the
nominee's achievements
during the period of time
indicated in the criteria.
No more than two (2)
pages please.
Deadline for nominations:
November 5, 2012
Recognition will be given for an initial five
(5) years of service and at five (5) year
increments thereafter. (Example 5, 10,
15, 20...). The nominee must also be a
member in good standing of their affiliated
province or territory.
Please attach a brief
summary of the
nominee's achievements
during the period of time
indicated in the criteria.
The nominee will have made a significant
contribution to the development of
wheelchair sport in Canada at the
provincial, territorial, national, or
international level.
No more than two (2)
pages please.
Deadline for nominations:
November 5, 2012
The Stéphan Dubuc Memorial
Award for Excellence in
Coaching is awarded to the
individual whose excellence in
coaching and athlete
development over the past
season has been evidenced by
superior results at the national
and/or international level.
Stéphan
Dubuc
Memorial
Award
This award is intended for
coaches involved in wheelchair
sports and is presented in
honour of Stéphan Dubuc,
whose excellence and dedication
to his athletes in the sport of
wheelchair rugby will be long
remembered and respected.
The contribution must be made in the
capacity of a coach at the national and/or
international level, during the period of
from Oct. 1, 2011 – Sep. 30, 2012.
The individual will have made a significant
contribution to the development of
wheelchair athletes in Canada, at the
national and/or international level. During
the above selection period, the individual
must be able to have demonstrated:






Please attach a brief
summary of the
nominee's achievements
during the period of time
indicated in the criteria.
No more than two (2)
pages please.
Deadline for nominations:
November 5, 2012
the ability to develop athletes and/or
teams;
a high level of commitment and
dedication to the sport and the
athletes;
measurable improvement of
athlete/team performance at the
national and/or international level;
creativity or innovation in their sport;
a sense of fair play and
sportsmanship;
a positive public image of coaching
and the role of the coach.
The individual must be a member in good
standing of their national and/or
provincial/territorial sport organization.
Awarded to a female athlete who
has exemplified outstanding
athletic excellence and
achievements.
The nominee must be a wheelchair
athlete with a disability and a member in
good standing with their CWSA affiliated
province or territory.
Female
Athlete of
the Year
Awarded to a male athlete who
has exemplified outstanding
athletic excellence and
achievements.
Male Athlete
of the Year
The contribution must be made in the
capacity of an athlete, during the period of
October 1, 2011 – September 30, 2012.
Please attach a brief
summary of the team’s
achievements during the
period of time indicated in
the criteria.
No more than two (2)
pages please.
The nominee must have demonstrated
excellence in wheelchair sport by
exemplifying good sportsmanship, fair
play, superior performance in major
competition and a commitment to training
at the provincial, national or int’l level.
Deadline for nominations:
November 5, 2012
The contribution must be made in the
capacity of an athlete, during the period of
October 1, 2011 – September 30, 2012.
Please attach a brief
summary of the team’s
achievements during the
period of time indicated in
the criteria.
The nominee must be a wheelchair
athlete with a disability and a member in
good standing with their CWSA affiliated
province or territory.
The nominee must have demonstrated
excellence in wheelchair sport by
exemplifying fair play, good
sportsmanship, superior performance in
major competition and a commitment to
training at the provincial, national or
international level.
No more than two (2)
pages please.
Deadline for nominations:
November 5, 2012
Doug Grant
Memorial
Award
The Doug Grant Memorial Award
is awarded to a team that has
exemplified outstanding athletic
excellence and achievements.
The contribution must be made in the
capacity of a team of athletes, during the
period of October 1, 2011 – September
30, 2012.
It is awarded to honour the
memory of athlete and sports
administator Doug Grant, who
worked tirelessly in the
advancement and
professionalism of wheelchair
sports.
The nominee must be a team of
wheelchair athletes with a disability and all
members of the team must be considered
members in good standing with their
CWSA affiliated provincial and/or national
sport organization.
The nominated team must have
demonstrated excellence in wheelchair
sport by exemplifying fair play, good
sportsmanship, superior performance in
major competition and a commitment to
training at the provincial, national or
international level.
nominated team must have demonstrated
excellence in wheelchair sport by
exemplifying:
-
fairplay;
good sportsmanship;
superior performance in major
competition;
a commitment to training at the
provincial, national or
international level.
The individuals on this team must be
members in good standing of their
national and/or provincial sport
organization, and if applicable in their
province, the club must be a member in
good standing of their provincial sport
organization.
Please attach a brief
summary of the team’s
achievements during the
period of time indicated in
the criteria.
No more than two (2)
pages please.
Deadline for nominations:
November 5, 2012
CWSA AWARDS – Awards for Excellence!
Year
Stan
Stronge
Memorial
Award
Dr. Robert
W.
Jackson
Award
CWSA
Volunteer
of the
Year
Female
Athlete
Male
Athlete
2011
James
Hustvedt
Nancy
Harris
Kathy
Ludwig
Michelle
Stilwell,
Athletics
Joel Dembe,
Tennis
2010
Jean
Labonté
Clayton
Gerein
Laurel
Crosby
Diane Roy,
Athletics
Trevor
Hirschfield,
Rugby
2009
David
Willsie
Michael
Suraci
Mary
Nguyen
Sarah
Hunter,
Tennis
David Eng,
Basketball
2008
André
Beaudoin
Harry de
Boer
Variety
Village
Tania
LePage
Chantal
Petitclerc,
Athletics
Dean
Bergeron,
Athletics
2007
Jennifer
Krempien
Gary Power
A.Q.S.F.R.
Steve
Campbell
Chantal
Petitclerc,
Athletics
Richard
Peter,
Basketball
2006
Clayton
Gerein
Marco
Dispaltro
Michel
Racine
Jeff
Whiting
Diane Roy,
Athletics
Patrick
Anderson,
Basketball
2005
Roy
Henderson
Laurel
Crosby
The
Wheelchair
Race Series
René
Gauthier
Chantal
Petitclerc,
Athletics
Kelly Smith,
Athletics
2004
Mike Bacon
Gail
Hamamoto
Doré
Dr. Michael
Riding
Paul
Bowes
Chantal
Petitclerc,
Athletics
Patrick
Anderson,
Basketball
2003
Adam Frost
Kathy
Newman
Défi Sportif
Frank
Peter, Sr.
Sarah
Hunter,
Tennis
David
Willsie,
Rugby
2002
Jeff Adams
Robert
Lefebvre
Louis
Barbeau
Judith
Zelman
Chantal
Petitclerc,
Athletics
2001
Marni
Abbott
Dr. Emilie
Newell
BC
Wheelchair
Sports Asc.
Hilary
Brown
Eron Main
2000
Rick
Hansen
Award
Marni
AbbottPeter
2010
WWRC
Organizing
Committee
Centre
d’intégration
à la vie
active
Doug Grant
Memorial
Award
Ontario
Wheelchair
Rugby Teams
BC Breakers
Wheelchair
Basketball
Team
Québec
Provincial
Wheelchair
Rugby Team
BC
Wheelchair
Rugby Team
Stéphan
Dubuc
Memorial
Award
Peter
Lawless,
Athletics
Judith
Zelman
Memorial
Award
Yanick
Racicot
Cheryl
Corrigan,
Basketball
Zak
Madell
Peter Taylor,
Basketball
Makiko
Harada
Peter
Eriksson,
Athletics
Cory
Harrower
BC Provincial
Basketball
Team
Canadian
Men's
Basketball
Team
Ontario
Provincial
Rugby Team
Canadian
Men's
Basketball
Team
Canadian
Men's
Basketball
Team
Benoit
Labrecque,
Rugby
Jessica
Des
Mazes
Tim Frick,
Basketball
N/A
Jean
Laroche,
Athletics
N/A
Peter
Eriksson,
Athletics
N/A
Benoit
Labrecque,
Rugby
N/A
Garett
Hickling,
Rugby
Canadian
Rugby Team
Joe Soares,
Rugby
N/A
Yuka
Chokyu,
Tennis
James
Treuer,
Basketball
Canadian
Junior Men's
Basketball
Team
Séverine
Tamborero,
Tennis
N/A
Lisa Franks,
Athletics
Canadian
Men's
Basketball
Team
N/A
N/A
N/A
Clayton
Gerein,
Athletics
N/A
N/A
N/A
André
Beaudoin,
Athletics
N/A
N/A
N/A
André
Beaudoin,
Athletics
N/A
N/A
N/A
Jeff Adams,
Athletics
N/A
N/A
N/A
Phillip
Rowe,
Duncan
Campbell,
1999
Frank
Peter, Jr.
Barbara
Montemurro
Gilles Brière
1998
-
-
-
Chris
Jackson
1997
Colette
Bourgonje
Claude
Brunét
Arvid
Kuhnle
Gary
Power
1996
Chantal
Petitclerc
Peter
Eriksson
Reg
McClellan
Janet
Vickers
1995
Elaine Ell
Dr. Robert
Steadward
Kathy
Newman
Corinne
Ambor
Chantal
Petitclerc
Jeff Adams
N/A
N/A
N/A
1994
André Viger
Gary
McPherson
Gladiateurs
de Laval
(N/A)
-
-
N/A
N/A
N/A
1992
Mel
Fitzgerald
Dr. Donald
Royer
Dr. Robert
W. Jackson
(N/A)
-
-
N/A
N/A
N/A
Stéphan
Dubuc,
Frank
Peter, Sr.
Y. Chokyu &
Hélène
Simard,
Tennis
Colette
Bourgonje,
Athletics /
Skiing
Yuka
Chokyu,
Tennis
Canadian
Women's
Basketball
Team