SPORTS NOMINATION FORM
NOMINEE DETAILS
NOMINEE NAME
CATEGORY
CONTACT DETAILS (Organisation or Home)
NOMINATOR DETAILS
NAME OF NOMINATOR
NOMINATOR ADDRESS
NOMINATOR TELEPHONE NUMBER AND EMAIL
For up to date information on the Rochdale Borough Sports & Culture Awards 2015- please visit
ROCHDALE BOROUGH SPORTS & CULTURE AWARDS WILL BE HELD ON THURSDAY 8 OCTOBER 2015 AT MIDDLETON ARENA, L/CPL JOEL HALIWELL VC WAY, MIDDLETON, MANCHESTER, M24 1AG.
Closing date for nomination form submissions is – Wednesday 16September 2015
ALL DECISIONS MADE BY THE ROCHDALE JUDGING PANEL ARE FINAL
NOMINATION FOR VOLUNTEER OF THE YEAR 2014 / 2015
- Please complete this nomination form and submit with the front sheet.
- A MAXIMUM of 200 wordsfor each of the criteria boxesbelow can be submitted.
- This nomination should reflect achievements between September 2014 and the closing date.
- Volunteering must take place in Rochdale Borough.
CRITERIA
1a. What role does the volunteer play?
1b. Where the volunteering takes place?
1c. Describe some key points about this nominee and a statement to support their nomination.
1d. How many hours per week do they contribute towards this role?
2. Demonstrate that the volunteer has regular commitment to their role
3. Please give examples of how their voluntary work benefits the wider community
4. Describe what the nominee does in going ‘the extra mile’.
Please return to Donna Livesey, Link4Life, Floor 3, Number One Riverside, Smith Street, Rochdale, OL16 1ZL
or e-mail
Closing date for nomination form submissions is – Wednesday 16 September 2015
NOMINATION FOR COACH OF THE YEAR 2014 / 2015
- Please complete this nomination form and submit with the front sheet.
- The coach must be delivering sessions on a voluntary basis within their borough to submit a nomination for this award
- A MAXIMUM of 200 words for each of the criteria boxes below can be submitted.
- This nomination should reflect achievements between September 2014 and the closing date.
- Coaching must take place in Rochdale Borough.
- If some of the coaching work is paid – it cannot be included on the nomination form.
CRITERIA
1. The Coach must be delivering on a VOLUNTARY basis within the Borough – Yes / No
2. Please list when and where coaching takes place. The coach must deliver a minimum of one coaching session a week in the borough.
3. List all current coaching qualifications and additional personal development undertaken.
4. Please give details and evidence of mentoring and developing other coaches.
5. Describe the coaches’ role in improving performers, individuals and/or teams giving examples of success.
6. How does the coach make a contribution to the wider community? Please give examples.
7. Summarise their achievements in the last 12 months.
Please return to Donna Livesey, Link4Life, Floor 3, Number One Riverside, Smith Street, Rochdale, OL16 1ZL
or e-mail
Closing date for nomination form submissions is – Wednesday 16 September 2015
NOMINATION FOR SPORTS ACHIEVER OF THE YEAR 2014 / 2015
- Please complete this nomination form and submit with the front sheet.
- A MAXIMUM of 200 words for each of the criteria boxes below can be submitted.
- This nomination should reflect achievements between September 2014 and the closing date.
- Nominee should be a permanent resident in Rochdale Borough.
- Athlete cannot be professionally funded through either a National Governing Body or UK Sport.
CRITERIA
1. Sport and/or sports played
2. Level the nominee has been competing at e.g. International, National, Regional, County or Local
3. Achievements in the last 12 months giving examples of the steps take to improve performance
4. Demonstrate the nominee’s dedication to training using examples of where they have gone beyond the norm in ensuring they progress
5. Please describe any other key achievements or contribution to the wider sporting community
6. What is it about the nominee you find inspiring?
Please return to Donna Livesey, Link4Life, Floor 3, Number One Riverside, Smith Street, Rochdale, OL16 1ZL
or e-mail
Closing date for nomination form submissions is – Wednesday 16 September 2015
NOMINATION FOR DISABLED SPORTS ACHIEVER 2014 / 2015
- Please complete this nomination form and submit with the front sheet.
- A MAXIMUM of 200 words for each of the criteria boxes below can be submitted.
- This nomination should reflect achievements between September 2014and the closing date.
- Nominee should be a permanent resident in Rochdale Borough.
- Athlete cannot be professionally funded through either a National Governing Body or UK Sport.
CRITERIA
1. Sport and/or sports played.
2. Level the nominee has been competing at e.g. International, National, Regional, County or Local.
3. Achievements in the last 12 months giving examples of the steps take to improve performance.
4. Demonstrate the nominee’s dedication to training using examples of where they have gone beyond the norm in ensuring they progress.
5. Please describe any other key achievements or contribution to the wider sporting community.
6. What is it about the nominee you find inspiring?
Please return to Donna Livesey, Link4Life, Floor 3, Number One Riverside, Smith Street, Rochdale, OL16 1ZL
or e-mail
Closing date for nomination form submissions is – Wednesday 16 September 2015
NOMINATION FOR CLUB OF THE YEAR 2014 / 2015
- Please complete this nomination form and submit with the front sheet.
- A MAXIMUM of 200 words for each of the criteria boxes below can be submitted.
- This nomination should reflect achievements between September 2014and the closing date.
- The club nominated must be a community club.
- The club must be based and run from Rochdale Borough.
CRITERIA
1. Please note the sports played at the club and the relevant adult or junior sections
2. Current Accreditation held and at what level?
3. Please describe, using examples the clubs:
a. Awards/success in the last 12 months
b. Links with local community/schools.
c. Strong coach development and structure
d. Commitment to being inclusive and providing opportunities for all
e. Volunteer recruitment / reward / recognition
f. Commitment to Child Protection
4. In a statement, please summarise why you think this club deserves to win ‘Club of the Year’ for 2015
Please return to Donna Livesey, Link4Life, Floor 3, Number One Riverside, Smith Street, Rochdale, OL16 1ZL
or e-mail
Closing date for nomination form submissions is – Wednesday 16 September 2015
NOMINATION FOR UNSUNG HERO AWARD 2014 / 2015
- Please complete this nomination form and submit with the front sheet.
- A MAXIMUM of 200 words for each of the criteria boxes below can be submitted.
- This nomination should reflect achievements between September 2014and the closing date.
- Volunteering must take place in the borough they are nominated for.
This category requires that the nominee has been involved in sport and physical activity for a minimum of ten years. Should this not be the case, but you do know someone who deserves recognition, we would advise nominating them for ‘Volunteer of the Year’ or ‘Coach of the Year’.
CRITERIA
1. Please describe, using examples how the nominee has ‘made a difference’.
a. Length of time they have been involved in community sport (minimum of ten years)
b. Role they have played
c. Dedication to their role, participants and wider club environment
d. Going ‘Beyond the call of duty’ or doing ‘Over and above’ the norm
e. Impact on the community/club/sport or individuals
2. What has driven you to make this nomination?
Please return to Donna Livesey, Link4Life, Floor 3, Number One Riverside, Smith Street, Rochdale, OL16 1ZL
or e-mail
Closing date for nomination form submissions is – Wednesday 16 September 2015
NOMINATION FOR 2014 / 2015
“CHANGING LIFESTYLE RECOGNITION AWARD”
- Please complete this nomination form and submit with the front sheet.
- A MAXIMUM of 200 words for each of the criteria boxes below can be submitted.
- This nomination should reflect achievements between September 2014 and the closing date.
- Nominees must be aged 16 or over.
CRITERIA
1. Describe activities undertaken before the achievement period, and activity levels achieved since September 2014. Please give details of the type of activity the nominee has taken part in.
2. Describe how inactivity (and subsequent activity) has affected everyday living.
3. Please give details how any health conditions and limiting problems have improved or been managed through becoming more active.
4. Explain how any health improvements have made a difference to the nominee’s quality of life
5. Provide any additional information on how the nominees improvements have inspired others to become more active
Please return to Donna Livesey, Link4Life, Floor 3, Number One Riverside, Smith Street, Rochdale, OL16 1ZL
or e-mail
Closing date for nomination form submissions is – Wednesday 16 September 2015