Contribution to Sport

To qualify for this award the individual nominee must meet ONE of the following Qualification Criteria:

• Been born in County Durham
• Currently live in County Durham
• Play or have played for a County Durham team
• Coached or volunteered in County Durham

To qualify for this award the individual nominee must ALSO meet ONE of the following Nomination Criteria:

• Competed at a National level in their chosen sport
• Shown a long term commitment to volunteering in sport in County Durham
• Coached athletes up to a National/International level
• Made a significant difference to individuals/groups through sport in County Durham

Name of the Nominee     Address (if known)     Telephone (if known)     Email Address (if known)     Reason for Nomination. Please give details of the reason you are nominating this individual, highlighting how they specifically meet one/some/all elements of the Qualification and Nomination criteria in no more than 250 words.   Details of person making the nomination   Name     Contact telephone number     Email Address     Is the nominated person aware of this nomination?   Yes No      I nominate the above individual and confirm to the best of my knowledge the details given in support of this nomination are accurate *

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