SPARC Volunteer Coach Awards Nomination Form

Do you know a volunteer coach who deserves thanks?

Use the form below to nominate him/her for a SPARC Volunteer Award 2010 (for further information on the SPARC Volunteer Awards visit www.sparc.org.nz/volunteers).

Please note that all contact details and other personal information with be kept confidential.

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1. Terms and Conditions (view them).

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2. Tell us what makes your volunteer coach so great. This is an important factor in the judging process. Highlight his/her past year of coaching. Lifetime achievement nominations should also include information about their long coaching history (max two paragraphs).

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3. What category is your coach in?

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4. Coach’s name

5. Coach’s phone number (if available)

6. Coach’s street name and number (if available). For example: 43 Smith St

7. Coach’s suburb (if available)

8. Coach's town or city

9. Coach's age

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10. What sport does he/she coach?

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11. What club or school does he/she coach?

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12. What region is the club/school in?

NB: If your nominated coach does not coach you but instead a friend or family member, please still enter your own details below - NOT those of the friend or family member being coached.

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13. Your name

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14. Your age

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15. Your home phone number (write "none" if you don't have one)

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16. Your mobile number (write "none" if you don't have one)

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17. Your suburb (if your community does not have suburbs put your town's name as in the following question)

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18. Your town/city

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19. Your email address (write "none" if you don't have one)

20. How did you find out about the SPARC Volunteer Coach Awards?

21. If you picked "Through my club", "Through my school", "Through the media", "Online" or "Other" in question 20, please provide their name.

22. Please tick this box if you DO NOT wish to be contacted by SPARC in the future about these awards or other sport and recreation information.

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