USTA Adaptive Tennis National Community Service Award Nomination Form

ELIGIBILITY and CRITERIA
Program, or individual conducting a program, that has been active for a minimum of three consecutive years.

Program or program leader has demonstrated continued excellence, dedication, and tennis-related service for those with physical and/or intellectual disabilities.

NOMINATORS
Nominators may submit one nomination for each individual and program.

SELECTION PROCESS
The USTA Adaptive Tennis National Community Service Award recipient is selected by a panel of USTA Adaptive Tennis Committee members and National USTA staff who work with Adaptive Tennis.

PRESENTED
Annually at the USTA Tennis Development Workshop in the fall.

TIMETABLE
Applications accepted until April 17.
Recipient will be notified by May 31.
IS THIS NOMINATION FOR AN INDIVIDUAL OR FOR A PROGRAM?
NOMINEE'S CONTACT INFORMATION
PROGRAM INFORMATION
REASONS FOR NOMINATION (In 500 words or less, please include the nominee's bio and/or program description):
NOMINATOR'S CONTACT INFORMATION
Questions?
USTA ADAPTIVE TENNIS COMMITTEE VICE-CHAIR
Marcy Hirshberg
Marcy@tennisawards.com
(678) 472-0178

USTA ADAPTIVE TENNIS COMMITTEE STAFF LIAISON
Leah Garzone, Coordinator, Community Outreach & Education
garzone@usta.com
(914) 696-7136
Please click on the "Submit Nomination" button below.
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