Newark & Sherwood District Council

• When completing the form, please ensure you enter all details accurately as we will need to contact you.



• Please provide as much information as possible, such as courses attended, number of hours training or volunteering. Achievements that took place outside of the review period, (winter sports season 2011 - 2012 and summer sports season 2012) will NOT be considered. The one exception is the Outstanding Contribution category where the achievements may have taken place over a longer period.



• Nominations will be judged by an independent panel after the closing date and all nominees and nominators will be contacted. Please ensure the nominee is aware of their nomination.



• Juniors will be classed as aged 18 or under on 30th September 2012



• Individuals nominated in all categories Sportsperson must live or be involved in an organisation based in Newark and Sherwood.



• Nominations for the Club of the Year will be judged against the following criteria -

• People the club has impacted upon - What difference has your club made to its volunteers, coaches, participants and non-participants in this year? Give examples of how it has recruited, recognised and invested in them during this year.



• Programmes the club delivers - What difference has the club made to the local community this year? Give examples of how the club has worked with the local area to encourage involvement. How has your club targeted specific groups to work with, such as ethnic minorities, women and girls, people with disabilities or low income groups?



• Working in partnerships - What partnerships is your club involved with? How has working in partnership with local agencies impacted on your club’s ability to deliver to the community. Give examples of work with your local or national governing body sports development officer/club forum/local schools/youth groups/brownies/scouts/volunteer centres etc.



• The future - What does your club plan to achieve in the next 12-18 months?

Name

Address

Telephone Number

Email

Name

Address

Telephone Number

Email

In which sport(s) is the Club/Team/Individual involved?

How do you know the Club/Team/Individual?

How long have you known the Club/Team/Individual?

At what level does the nominee compete/coach/volunteer (eg County, Regional, National)?

Please list the nominee's TOP FIVE ACHIEVEMENTS

Achievement #1

Date (mm/yy)

Achievement #2

Date (mm/yy)

Achievement #3

Date (mm/yy)

Achievement #4

Date (mm/yy)

Achievement #5

Date (mm/yy)

In no more than 200 words, please tell us why you are nominating the Club/Team/Individual for this award e.g information relating to competition results, leagues, achievements, details of volunteering responsibilities and memberships. Please do not send additional supporting material.

Winners are judged purely on the information you supply; the judging panel does not necessarily know the person concerned therefore please give the relevant information to ensure they get a fair decision.

NB The relevant Governing Body will be contacted for validation of results at the discretion of the judging panel.

All information provided will be treated in compliance with the Data Protection Act 1998.

The Council may wish to share the information you supply with other departments within the Council.

All information provided will be treated in compliance with the Data Protection Act 1998.

CLOSING DATE FOR NOMINATIONS : 30 September 2012