Coach/Young Coach of the Year

• Please ensure you read the Award Criteria 2011 before making your nomination
• If you wish to nominate a coach, please complete the form below

Please note: All nominations will be judged solely on the information received, therefore please include as much relevant detail as possible.

Please remember to fill in contact details, as this is how we will be in touch should the nomination be successful.

You may also want an NGB representative to endorse your nomination. If you would like to do this, please direct them to the NGB Endorsement Form as well as passing on all coach information to allow them to complete the endorsement form.

PLEASE NOTE: If you wish to save your form to complete at a later date, you must ensure you make note of the reference number given when clicking 'Save for later...' as you will be required to enter this when clicking 'Load...' to access the data.

Coach Details   CSN area for which the nomination is being made. Please select the appropriate box (ONE box only)   Chester le Street and Durham City Easington Teesdale and Wear Valley Derwentside Sedgefield   Category the Coach is being entered for:   Coach of the Year Junior Coach of the Year (under 21 as of 31/08/11)   Name of Coach     Address (must be provided to allow contact)     Telephone (if known - important to allow contact)     Email Address (if known)     Age / DOB (for Young Coach Category only)     Current club/organisation(s) that the coach is currently working for     Current coaching position(s)     Area(s) where this coach provides coaching     Average number of paid coaching hours per month     Average number of voluntary coaching hours per month     Number of years as an active coach   Qualifications   Coaching Qualifications   Please list sport/NGB, award held and date achieved, with most recent first. Reason for Nomination Please give details describing why this person deserves to win this award: (no more than 250 words) Consider including details of relevant training and development they have undertaken, how they have made a difference to individuals or groups through their coaching, key achievements in coaching, any particular barriers they have overcome to undertake their role as a coach Details of person making the nomination   Name (your name)     Telephone     Email address   Image   Please upload an image of the coach (for use in presentations)     Is the coach aware of this nomination?   Yes No      I nominate the above coach and confirm to the best of my knowledge the details given in support of this nomination are accurate. I understand the judges' decision is final and that no correspondence will be entered into. * If any of the details are found to be inaccurate or false this will result in your nomination being withdrawn from the process.   Type both words separated by a space below:

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