NOMINATION FORM 2015 STEVE McFARLANE CONTRIBUTION TO SPORT 2015 - PDF document

NOMINATION FORM 2015 STEVE McFARLANE CONTRIBUTION TO SPORT 2015 JOHN ORMSBY COACH OF THE YEAR The Presentation Dinner will be held at The Berri Hotel, Friday November 20, 2015 at 6 pm Please book tables with The Berri Hotel on 8582 1411 and RSVP to Radio 5RM on 8582 1800 RSVP: November 13, 2015 IMPORTANT SEE CONDITIONS AND CRITERIA OVERLEAF. NOMINATIONS CLOSE: October 30, 2015

CRITERIA While it is preferable that awards be given to residents of the Riverland, consideration may be given to a person who has given outstanding service within the Riverland Area but lives outside its boundaries. 5RM - STEVE McFARLANE CONTRIBUTION TO SPORT AWARD In honour of outstanding Riverland Sportsperson Steve McFarlane. The Steve McFarlane Contribution to Sport Award recognises an individual who has given outstanding contribution to the sporting community in general. This award is designed to salute a dedicated, often behind the scenes sporting volunteer whose efforts deserve special recognition. 5RM – JOHN ORMSBY COACH OF THE YEAR The John Ormsby Coach of the Year award recognises an individual for their tireless efforts in coaching and training sporting teams and or individuals and seeks to salute a special person who has excelled in overall coaching.

REASONS FOR NOMINATION NOMINATION FORM NOMINATION FOR: 2015 5RM - STEVE McFARLANE CONTRIBUTION TO SPORT AWARD 2015 5RM - JOHN ORMSBY COACH OF THE YEAR AWARD I / We wish to nominate the undernamed for consideration for the above award for the reasons listed overleaf. NOMINEE’S NAME: EMAIL : (PLEASE PROVIDE) ADDRESS: TELEPHONE : Home Other NOMINATOR’S NAME: EMAIL : (PLEASE PROVIDE) TITLE & ORGANISATION: ADDRESS: TELEPHONE : Home Other Please print clearly, 250 words or less, and attach copies of supporting documentation if necessary.

PLEASE RETURN COMPLETED FORM BY CLOSE OF BUSINESS, OCTOBER 30, 2015 TO: RADIO 5RM PO BOX 321 BERRI SA 5343 EMAIL: admin@5rm.com PH: 08 8582 1800 FAX: 08 8582 3140