Athlete Community Excellence Award

SOO Registration Number*

SOO Registration Number. For assistance, please contact sooawards@specialolympicsontario.com

Athlete's Name*

First Last

Athlete's Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Athlete's Phone Number

Athlete/Parent's Email

Nominator's Name*

First Last

Nominator's Email*

Nominator's Phone Number*

Please put a check mark beside as many of the following criteria that apply. Each nominee must meet at least 10 out of the following 15 criteria to be considered.

PARTICIPATION

a. Please specify how long the athlete has been involved in a Special Olympics program(s)?*

b. Please identify the sport(s) the athlete has participated in.*

c. List significant community participation including any competitions they may have participated in, committees they are involved with and any other programs they are a part of (i.e., athlete leadership, health, etc.) within the past year*

ATHLETIC AND PERSONAL DEVELOPMENT

a. Please provide specific examples of how the athlete has shown dedication, enthusiasm and a positive attitude in their chosen sport(s) and programs within the past year.*

b. How has the athlete demonstrated and/or contributed to success in sport within the period of the past year? Please provide specific examples of how the athlete has demonstrated improvement in their athletic skill.*

SPORTSMANSHIP

a. Please provide specific examples of how the athlete has displayed sportsmanship and has been considerate of fellow athletes, coaches and officials within the past year.*

b. Please provide specific examples of how the athlete had a positive impact and shown leadership in their community within the past year.*

ADDITIONAL INFORMATION

Please provide one reference letter. Click on "Select Files" to upload file(s).

Drop files here or

Max. file size: 512 MB.

Please provide one photo of your nominee. Click on "Choose File" to upload.

Max. file size: 512 MB.

List any noteworthy and further accomplishments of the nominee:

Phone

This field is for validation purposes and should be left unchanged.