10TH ANNUAL GOVERNOR’S COUNCIL ON PHYSICAL FITNESS AND SPORTS AWARDS CEREMONY, 2014 in collaboration with the NCD Consortium NOMINATING FORM Nominee ( Name or Project)
Nominated by:
E-mail:
E-mail:
Telephone:
Telephone:
Please submit the following:
The completed Nominating form and a nomination statement on why the nominee should be selected in the category checked (please select one)– please write out the nomination statement on the back of this form. You may attach media clippings.
At least 1 photo in JPEG format (thumbdrive or sent to
[email protected] )
Letters of reference are encouraged, but are not required.
[ ] Outstanding Youth Sport Project
[ ] Outstanding Volunteer Youth Sports Coach
[ ] Outstanding Youth Sportsmanship Award
[ ] Outstanding Village Fitness Program
[ ] Model Worksite Wellness Program
[ ] Outstanding Media Contribution
[ ] Outstanding Health Coach within a Worksite Wellness Program
[ ] Outstanding Faith-based sports/fitness program
[ ] Exemplary Ethnic Recreation Program
[ ] Dynamic Dance Sport Program
[ ] Most Inspirational Athlete
[ ] Outstanding Young Athlete
[ ] Lifetime Achievement Award
[ ] Outstanding Physical Ed. Teacher
[ ] Sports Tourism Award
[ ] Outstanding Group Fitness Instructor
[ ] Outstanding Personal Fitness Trainer
[ ] Innovative Sports/Fitness event or program
[ ] Exemplary contribution of healthcare professional to fitness and sports
[ ] Other:
The completed application must be received no later than August 15, 2014. It may be e-mailed to Renee Veksler at
[email protected] or submitted in hard copy to : CARS PLUS (cashier’s desk), or STRIKE ZONE Batting Cages (in Dededo on Army Drive (Rt.16) across from the Mall, next to American Bakery). Candidates will be notified by September 5th. The Awards Banquet will be September 25 at the Westin Resort & Spa. All materials submitted will become the property of the Governor’s Council on Physical Fitness and Sports, which may use them in its promotions and marketing. For information, contact Pat Wolff at 649-7502 or Renee Veksler at 647-2350.
Award recipients will be encouraged to volunteer to give back/pay it forward by giving or coordinating a sports clinic for an elementary school. Another option to consider is to be trained to help resolve sports-related conflicts with Inafa’ Maolek. Form updated 6-16-14
