ATHLETE AND TEAM OF THE YEAR AWARDS
JUNIOR ATHLETE
OPEN ATHLETE
JUNIOR TEAM
OPEN TEAM
In order for this nomination to be considered, all sections of the form relevant to the nominee must be completed.
NOMINEE/TEAM:
Name of Nominee/Team:
Male/Female:
Sport:
DOB (dd/mm/yy):
Present Address:
City/Town:
Province:
Phone (Bus):
Home:
Postal Code:
Cell:
Email:
NOMINATOR:
Nomination made by:
Relation:
Address:
City/Town:
Province:
Phone (Bus):
Home:
Email:
Postal Code:
Cell:
Signature:
PSA or NSO CONTACT INFORMATION:
Contact Name:
Organization:
Address:
City/Town:
Province:
Phone (Bus):
Home:
Postal Code:
Cell:
IDENTIFY THE NOMINEE’S COACH(ES):
Name:
Address:
City/Town:
Province:
Phone (Cell):
Home:
Email:
Postal Code:
Cell:
NOMINEE ACCOMPLISHMENTS 2014:
* Note * The award recipients will be selected based only on the information provided with the nomination form.
Please contact the nominee if necessary to obtain accurate, reliable and relevant information that would help
determine their eligibility for the award. Additional material/pages may be attached in support of the
nomination. For a Team Nomination, please attach a complete list of athletes and coaches.
1. How many years has the nominee been a resident in Alberta?
(not applicable to Team Nomination)
2. On an additional sheet, please provide a 2014 COMPETITIVE SUMMARY (January – December) that provides a
COMPLETE list of the following information:
 Name of Event
 Date(s)
 Location
 # of entrants/teams
 Final Performance or World Ranking
3. On an additional sheet, please provide 2014 PERFORMANCE INFORMATION (January – December) that provides
the following information:
 Name of Event
 Date(s)
 Location
 Personal Best, Award Received or Record established
4. On an additional sheet, please provide a WRITTEN SUMMARY of why the nominee is deserving of the 2014
Athlete or Team of the Year Award in their category (maximum of 1 page). While some background is acceptable,
please focus on your comments on the accomplishments of the athlete(s) or team in 2014.
Application Checklist
 All fields on the preceding page have been completed
 Years of Residency question has been answered
 For Team nominations, a complete list of team members is attached
Additional Information
 A complete 2014 Competitive Summary is attached
 If applicable, a complete list of 2014 Performance Information is attached
 A Written Summary of why the nominees deserving is attached (maximum of 1 page)
NOTE: INCOMPLETE NOMINATIONS WILL BE RETURNED
NOMINATION DEADLINE IS FRIDAY, FEBRUARY 20, 2014
Please return to:
Alberta Sport Recognition Awards
c/o Susan Vandersluis
Alberta Sport Connection
#500, 10055 – 106 Street
Edmonton, AB T5J 1G3
Phone: (780) 422-8294
In order for this nomination to be considered, you must complete all sections of the form relevant to the nominee. Your personal information will be used for the
purpose of contacting you concerning the Athlete and Team of the Year Award. It is collected under the authority of section 33(c) of the Freedom of Information and
Protection of Privacy Act and is protected by the privacy provisions of the Act. If you have any questions about the collection of this information please contact Steven
Patrick, Alberta Sport, Recreation, Parks & Wildlife Foundation, at 500 HSBC Building, 10055-106 Street, Edmonton, AB T5J 1G3 or via telephone at 780-644-4897.