1. Sports Person of the Year 2017 Nomination Form

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1 1. Sports Person of the Year 2017 Nomination Form Glasgow s Sports Person of the Year Awards 2017 recognises those men, women and organisations that have made a massive impact on the city through sport in The commitment and achievements of so many have contributed to another spectacular year of sport for Glasgow and these awards are the city s opportunity to recognise and thank them for their efforts. Any organisation or individual aged 14 or over, can submit a nomination for the Glasgow Sports Person of the Year Awards. Please fill out this online form to submit a nomination choosing from the listed categories on our website You are also invited to nominate a Scottish personality from the world of sport who in your opinion has given the most outstanding performance during Nominations should be made for achievements made during the period 17th October th October Nominations close on Friday 10 th November 2017 at 5pm. Nominations can also be submitted by post and via and further information on this can be found Please note multiple nominations can be submitted. 2. Terms and Conditions 1. By submitting a nomination you consent to the processing of your personal details and that the necessary consents for the Nominee/s (including parent/ legal guardian permissions for Nominees under 16 years) have been obtained. Before submitting a nomination you and your Nominee/s understand and accept the terms and conditions of the Sports Person of the Year 2017 Awards and agree to be bound by them. Terms and Conditions and information about our Privacy Notice can be found here. * I hereby certify that I and the Nominee/s understand and accept the terms and conditions of the Sports Person of the Year 2017 Awards. 3. Nominator's Details Please provide contact details for the person making the nomination 2. Please provide details for Nominator i.e. person filling in this form * Name:

2 Telephone number: 4. Award Categories 3. Please select your category for nomination * Evening Times Glasgow Disabled Athlete of the Year Award Glasgow Young Volunteer of the Year Award Evening Times Glasgow Volunteer of the Year Award Glasgow Club of the Year Award Glasgow Team of the Year Award Glasgow Service to Sport- Lifetime Achievement Award Evening Times Glasgow Young Person of the Year Award Glasgow Student Athlete of the Year Award Glasgow Coach of the Year Award Glasgow Community Impact Award Sports Person of the Year Award ****Please skip to your category for nomination & complete as required**** 5. Evening Times Glasgow Disabled Athlete of the Year A Sportsperson with a disability who has shown outstanding commitment and performance at local, regional, national and/or international level. 4. Name of Nominee

3 5. Nominees must meet at least one of the following criteria, please tick all that apply; * Glasgow resident Member of a Glasgow based sports club Born in Glasgow 6. Address (of nominee) 7. Telephone Contact Number (of nominee) 8. Sport Athletics Badminton Wheelchair Basketball Cycling Football Golf Gymnastics Hockey Judo Netball Rugby Swimming

4 Table Tennis Tennis Volleyball Boccia Wheelchair Rugby Other (please specify): 9. Club Name 10. Please select your Nominee's level of Representation (you can select multiple levels) * Local National International 11. Please use the box below to inform us of any previous awards received (if applicable) 12. Please tell us some background on your Nominee (max 200 words). Help us build a picture of the nominee and what makes them deserving of this award, include how the nominee got involved with Sport and roles undertaken, how much time they devote to sessions and training.

5 13. Please tell us about your Nominees key achievements in the past 12 months along with associated dates. Max 200 words. 6. Glasgow Young Volunteer of the Year Award (12-26 years) A young volunteer (12-26 years) who has made an invaluable contribution to sport within their club or local community. 14. Name of Nominee 15. Nominees must meet at least one of the following criteria, please tick as appropriate; * Glasgow resident Member of a Glasgow based sports club Born in Glasgow 16. Age *

6 12-16 yrs yrs 17. Address (of nominee) * 18. Telephone Contact Number (of nominee) * 19. Sport Athletics Badminton Wheelchair Basketball Cycling Football Golf Gymnastics Hockey Judo Netball Rugby Swimming Table Tennis Tennis Volleyball

7 Other (please specify): 20. Club Name 21. Please select your Nominee's level of Representation (you can select multiple levels) Local National International 22. Please use the box below to inform us of any previous awards received (if applicable) 23. Please tell us some background on your Nominee (max 200 words) Help us build a picture of the nominee and what makes them deserving of this award, include how the nominee got involved with Sport and roles undertaken, how much time they devote to sessions and training.

8 24. Please tell us about your Nominees key achievements in the past 12 months along with associated dates. Max 200 words. 7. Evening Times Glasgow Volunteer of the Year Award A volunteer who has made an invaluable contribution to sport within their club or local community. 25. Name of Nominee 26. Nominees must meet at least one of the following criteria, please tick as appropriate; Glasgow resident Member of a Glasgow based sports club Born in Glasgow 27. Age yrs yrs 27yrs Address (of nominee)

9 29. Telephone Contact Number (of nominee) 30. Sport Athletics Badminton Wheelchair Basketball Cycling Football Golf Gymnastics Hockey Judo Netball Rugby Swimming Table Tennis Tennis Volleyball Other (please specify): 31. Club Name

10 32. Please select your Nominee's level of Representation (you can select multiple levels) Local National International 33. Please use the box below to inform us of any previous awards received (if applicable) 34. Please tell us some background on your Nominee (max 200 words) Help us build a picture of the nominee and what makes them deserving of this award, include how the nominee got involved with Sport and roles undertaken, how much time they devote to sessions and training. * 35. Please tell us about your Nominees key achievements in the past 12 months along with associated dates. Max 200 words. *

11 8. Club of the Year Award A Glasgow based sports club that has contributed to the development of sport at a city wide or local level. 36. Name of Club 37. Sport/s offered by the club you are nominating Athletics Badminton Wheelchair Basketball Cycling Football Golf Gymnastics Hockey Judo Netball Rugby Swimming Table Tennis Tennis Volleyball Other (please specify):

12 38. Club Venue 39. How many junior members are enrolled with the club? (under 18 years old) * less than 20 between between between more than How many senior members are enrolled with the club (18 years old+) less than 20 between between between more than How many coaches are enrolled with the club? * less than 10 between more than How many volunteers are enrolled with the club? * less than 10

13 between more than Please use the box below to inform us of any previous awards received (if applicable) 44. Approx no. of sessions offered by the club weekly 45. Please use the space below to inform us of any work with partners and other organisations you work with. E.g. Sportscotland, universities, local charities, Governing bodies etc. (200 words max) 46. Please tell us some background on the club you are nominating. Help us build a picture of the club and what makes them deserving of this award. Include approx. when the club began and how the club has developed and evolved over the years to it's current form. (max 200 words)

14 47. Please tell us about your Nominees key achievements in the past 12 months along with associated dates. Max 200 words. 9. Team of the Year Award A Glasgow based team that achieved a high level of performance in their sport at local, regional, national and/or international level. 48. Name of Team 49. Sport played by team * Athletics Badminton Wheelchair Basketball Cycling Football Golf Gymnastics Hockey

15 Judo Netball Rugby Swimming Table Tennis Tennis Volleyball Other (please specify): 50. Age group of Team Junior Adult 51. Team Venue (where do they regularly train/ where are they based) 52. Please use the box below to inform us of any previous awards received (if applicable) 53. Please tell us some background on the team you are nominating. Help us build a picture of the team and what makes them deserving of this award. Include how the team has progressed and the key players that have helped move it forward. (max 200 words)

16 54. Please tell us about your Nominees key achievements in the past 12 months along with associated dates. Max 200 words. 10. Glasgow Service to Sport- Lifetime Achievement Award A person who has shown outstanding commitment, dedication and enthusiasm in their support of sport over a considerable period. 55. Name of Nominee 56. Nominees must meet at least one of the following criteria, please tick all that apply; Glasgow resident Member of a Glasgow based sports club Born in Glasgow 57. Address (of nominee)

17 58. Telephone Contact Number (of nominee) 59. Sport Athletics Badminton Wheelchair Basketball Cycling Football Golf Gymnastics Hockey Judo Netball Rugby Swimming Table Tennis Tennis Volleyball Other (please specify): 60. Club Name

18 61. Approx number of Years involved in Sport * 62. Approx hours committed to Sport per week 63. Please select your Nominee's level of Representation (you can select multiple levels) Local National International 64. Please use the box below to inform us of any previous awards received (if applicable). Max 200 words. 65. Please tell us some background on your Nominee (max 200 words) 66. Please tell us about your Nominees key achievements in the past 12 months along with associated dates. Max 200 words.

19 11. Glasgow Young Sportsperson of the Year Award (12-26 Years) A junior sportsperson displaying outstanding performance in their sport in local/regional/national and/or international level. 67. Name of Nominee 68. Nominees must meet at least one of the following criteria, please tick as appropriate; * Glasgow resident Member of a Glasgow based sports club Born in Glasgow 69. Age years years 70. Address (of nominee)

20 71. Telephone Contact Number (of nominee) 72. Sport Athletics Badminton Wheelchair Basketball Cycling Football Golf Gymnastics Hockey Judo Netball Rugby Swimming Table Tennis Tennis Volleyball Other (please specify): 73. Club Name 74. Approx number of Years involved in Sport

21 75. Approx hours committed to Sport per week 76. Please select your Nominee's level of Representation (you can select multiple levels) Local National International 77. Please use the box below to inform us of any previous awards received (if applicable) 78. Please tell us some background on your Nominee (max 200 words) 79. Please tell us about your Nominees key achievements in the past 12 months along with associated dates. Max 200 words.

22 12. Glasgow Student Athlete of the Year Award This award is kindly sponsored by University of Strathclyde. A student who has displayed outstanding performance in their sport. 80. Name of Nominee 81. Address (of nominee) 82. Telephone Contact Number (of nominee) 83. Name of College/ University the Nominee attends 84. Sport Athletics Badminton Wheelchair Basketball Cycling

23 Football Golf Gymnastics Hockey Judo Netball Rugby Swimming Table Tennis Tennis Volleyball Other (please specify): 85. Club Name 86. Approx number of Years involved in Sport 87. Approx hours committed to Sport per week 88. Please select your Nominee's level of Representation (you can select multiple levels) * Local National

24 International 89. Please use the box below to inform us of any previous awards received (if applicable) 90. Please tell us some background on your Nominee (max 200 words) 91. Please tell us about your Nominees key achievements in the past 12 months along with associated dates. Max 200 words. 13. Glasgow Coach of the Year Award An individual who has shown an outstanding commitment to coaching and further development of athletes in their sport. 92. Name of Nominee 93. Nominees must meet at least one of the following criteria, please tick as appropriate * Glasgow resident

25 Coaches Glasgow based sports club Born in Glasgow 94. Address (of nominee) 95. Telephone Contact Number (of nominee) 96. Sport Athletics Badminton Wheelchair Basketball Cycling Football Golf Gymnastics Hockey Judo Netball Rugby Swimming Table Tennis Tennis Volleyball Other (please specify):

26 97. Club Name 98. Approx number of Years involved in Sport 99. Approx hours committed to Sport per week 100. Please select your Nominee's level of Representation (you can select multiple levels) * Local National International 101. Please use the box below to inform us of any previous awards received (if applicable) 102. Please tell us some background on your Nominee (max 200 words). Help us build a picture of the nominee and what makes them deserving of this award, include how the nominee got involved with Sport and roles undertaken, how much time they devote to sessions and training.

27 103. Please tell us about your Nominees key achievements in the past 12 months along with associated dates. Max 200 words. 14. Community Impact Award This award recognises an innovative project which uses Sport and Physical Activity to improve and enhance the quality of life of Glaswegians Name of Community Project 105. Main contact name for project 106. Main contact for project 107. Location of Project * Glasgow Northwest Glasgow Northeast Glasgow South 108. Project's main source of funding.

28 109. Please tell us how the project uses Sport and/ or Physical Activity to improve and enhance the quality of life of Glaswegians, including major achievements over the last 12 months. Max 400 words. 15. Sports Person of the Year Award We would like to invite you to nominate a Sports Person who in your opinion has given the most outstanding performance in 2016/2017. Any Scottish sports person is eligible. Previous winners of this award have been Ross Murdoch, Sir Chris Hoy, Andy Murray OBE, Ricky Burns and Katherine Grainger CBE Name of Nominee 111. Sport Athletics Badminton Wheelchair Basketball Cycling Football Golf

29 Gymnastics Hockey Judo Netball Rugby Swimming Table Tennis Tennis Volleyball Other (please specify): 112. Please use the box below to tell us of the nominee's key achievements and why in your opinion they are deserving of this award.

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