Athlete Lifetime Achievement | Special Olympics Ontario

SOO Registration Number

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 Phone Number*

Nominator's Email*

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.

Please give three (3) reasons why the nominee is deserving of this award.

Please complete the following information in support of this nomination.

a. Please specifiy how long the athlete has been/was involved in a Special Olympics Program(s)?*

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

c. List Significant cometitions attended and results for each event or Team sport: like Event: Sport: Results:*

2. ATHLETIC AND PERSONAL DEVELOPMENT

a. How has the athlete demonstrated success in sport? Please provide Specific examples of how the athlete has done their personal best and achieved their athletic goal(s).

b. Please provide specific examples of how the athlete has demonstrated a dedication to improve athletic skill over the course of his/her career.

c. How has the athlete demonstrated personal growth and development i.e self-discipline, independence etc.?

d. Please provide additional comments/examples which describe the athletic and personal development of the athlete

3. SPORTSMANSHIP

a. How has the athlete exemplified the true spirit of Special Olympics? Please provide specific examples.

b. Please provide specific examples of how the athlete has displayed sportsmanship and has been considerate of fellow athletes, coaches and officials.

c. Provide a specific example of a time that this athlete acted as a leader and role model for other Special Olympics athletes.

4. ADDITIONAL CONSIDERATIONS

Please list any other significant achievements the nominee has achieved outside of their athletic accomplishments (i.e International Global Ambassador, Board Member, etc.)

Please provide one reference letter. Click on Browse to upload file(s)

Drop files here or