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City Of Orillia Official Nomination Form Name: Information for nominator:
City Of Orillia Athlete Of The Year 2014 Official Nomination Form All nominations must be received on an official nomination form. Name: Information for nominator: The Athlete of Year Trophy was made available by Mr. Norm Davis, to be presented annually to a local athlete. The following criteria must be met: 1. 2. 3. 4. 5. The athlete should have accomplished a high level of athletic achievement over the past year. The athlete need not be of Olympic calibre. Past winners are not eligible. An individual must be nominated, not a team. Your nominee will be judged on the basis of his/her individual ability, dedication to training schedule, and good sportsmanship. A committee of 10, made up of representatives from the following, will review all nominations: • OD / Park Secondary School - Physical Education Department • Twin Lakes Secondary School - Physical Education Department • Patrick Fogarty Secondary School - Physical Education Department • Elementary School Physical Educational Council • Sports Editor - Orillia Packet and Times • Sports Editor – Orillia Today • Sports Director – KICX 106 FM • Y.M.C.A. Representative • City of Orillia - Recreation Advisory Committee • Sunshine 89 FM Nomination Deadline – Friday, January 9, 2015 by 12:00 Noon *(Late or incomplete nominations will not be considered) Return form to: Orillia Parks, Recreation and Culture Department 50 Andrew Street South, Suite 300 Orillia, ON L3V 7T5 City Of Orillia Athlete Of The Year 2014 Official Nomination Form All nominations must be received on an official nomination form. I wish to nominate: for Orillia’s Athlete of the Year, 2014. As a nominee, complies with all criterion related to the selection, as listed below: YES NO a) Credit to the City because of athletic accomplishment. b) Selection based on individual ability, dedication to training program, combined with good sportsmanship. c) Open to any individual who displays excellence in one or more athletic endeavours. d) Open to any amateur athlete whose primary residence is in the area encompassed by the Orillia School District. e) Has this person been selected for this award in the past? f) Have you attached a letter of recommendation from a Sports Association in support of the athlete’s accomplishments? (Letter of Recommendation is mandatory) Information Required: Name of Nominee: Address: Telephone Number: Age: Sports Participated In During 2014: 1. 2. 3. 4. 5. Notable achievements in each sport over the past year: (Attach information if necessary) _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ City Of Orillia Athlete Of The Year 2014 Official Nomination Form All nominations must be received on an official nomination form. Attitude - What does his / her attitude do to help others, i.e. team, league? (Attach information if necessary) Comments on sportsmanship demonstrated by nominee: (Attach information if necessary) Mandatory letter of recommendation: Attach a letter of recommendation from a sports organization (i.e. School, Local, Provincial, National, International, etc.) to endorse the athlete’s accomplishments. ____________________________________________ Date ___________________________________________ Nominator’s Name (please print) ____________________________________________ Nominator’s Signature ____________________________________________ Nominator’s Phone Number ____________________________________________ Nominator’s Email Nomination Deadline – Friday, January 9, 2015 by 12:00 Noon *(Late or incomplete nominations will not be considered) Return form to: Orillia Parks, Recreation and Culture Department 50 Andrew Street South, Suite 300 Orillia, ON L3V 7T5 Athlete Of The Year Award Ceremony February 2015 | Orillia City Centre (Date and time to be determined) Nominators, or a chosen delegate, must attend the award ceremony. Nominators will be contacted at a later date with the ceremony details. At the ceremony you will be asked to introduce your nominee with a brief summary of his/her athletic achievements. The Athlete of the Year recipient will be announced after the introductions. For more information, please call the Parks, Recreation and Culture office at (705) 329-7250. Please indicate below who will be attending the ceremony: Nominator (or delegate): ________________________________________ Nominee: _________________________________________ Number of Guests Attending Ceremony: _____________________________ Athlete of the Year Past Winners 2013 Soren Meeuwisse 1992 Toben Sutherland 1971 No Winner Selected 2012 Lisa Avery 1991 Ethan Moreau 1970 No Winner Selected 2011 Scott Semour 1990 Chad Moreau 1969 No Winner Selected 2010 Hayley Warren 1989 Siobhan Murphy 1968 Brian Turnbull 2009 Cassie Leigh 1988 Dr. Steve Burrows 1967 No Winner Selected 2008 1987 Greg Jackson 1966 No Winner Selected 2007 Jayme Beard 1986 Brian Orser 1965 No Winner Selected 2006 Amy Town 1985 Mandy Cockburn 1964 No Winner Selected 2005 Justin Grinstead 1984 Whitney Ross 1963 Allan French 2004 Ken Smith 1983 Michelle Brotherton 1962 Barry Bywater 2003 Luke Wiles 1982 Jerry Udell 1961 Doug Howard 2002 Bill Bowman 1981 Tracey Robertson 1960 Bill Watters 2001 Toyin Olupona 1980 Cam Henderson 1959 Bud Williamson 2000 Randi Miller 1979 Jeff Epps 1958 Walter Henry 1999 Dustin Foreman 1978 Julie Insley 1957 Donald MacLeod 1998 Mark Shivers 1977 Virenda Mody 1956 No Winner Selected 1997 Barry Dobson 1976 Mike Henry 1955 Grant Ross 1996 David Town 1975 Rob Town 1954 Clary Payne 1995 Helga Rinneard 1974 Rob Town 1953 Neil Peacock 1994 Murray Wood 1973 Doug Reid 1952 Earl McCrone 1993 Megan Sullivan 1972 Robin White Rick Ball
