Athlete Community Excellence Award Athlete Community Excellence Award SOO Registration Number* SOO Registration Number. For assistance, please contact sooawards@specialolympicsontario.comAthlete's Name* First Last Athlete's Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Athlete's Phone NumberAthlete/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. Exhibits sportsmanship Participated at Provincial/National Games Involved in after school groups or community groups Acts as a mentor for others Well-liked and respected by all Continually improves, enhances personal development Always gives their best Continually improves sports skills Has worked hard to achieve personal goals Shows commitment Always attends practices Always gives 100% effort in practices Exemplifies the true spirit of Special Olympics Shows respect for fellow teammates, coaches and officials Demonstrates the concept of athlete empowerment PARTICIPATIONa. 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 DEVELOPMENTa. 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.*SPORTSMANSHIPa. 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 INFORMATIONPlease provide one reference letter. Click on "Select Files" to upload file(s). Drop files here or Select files 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:NameThis field is for validation purposes and should be left unchanged.
