ALBERTA SOCCER 2015 AWARDS BANQUET NOMINATIONS FORM Please see the following list of awards that will be presented at the 2015 Awards banquet on January 24, 2015 Award Life Membership Shield of Merit Award of Merit Woman of Distinction Golden Shoe Golden Whistle Silver Badge Award Bert Goldberger Technical Leader Award Physical Literacy Coach of the Year Description Individuals who have made a meritorious contribution to the Alberta Soccer Association. Selected by the Alberta Soccer Membership. Awarded to the person who demonstrated outstanding contributions and long term dedication to Soccer in Alberta. Selected by the Board of Directors. Presented to those who've displayed great achievements and brought pride to soccer in the past year. Nominated by Districts of Alberta Soccer and selected by Alberta Soccer Board of Directors. (2 Maximum) This award recognizes one woman’s outstanding achievements and contribution to leading, coaching, officiating and/or playing soccer in Alberta. Selected by the Alberta Soccer Women’s Committee. Presented to the team of the year (youth and senior) - recognizing them for their success. Selected by the Alberta Soccer Competitions Committee. Presented to the individual who has a long-standing contribution to officiating. Selected by Alberta Soccer Referee Development Committee. Presented to a Referee whose age does not exceed 28 years and who has demonstrated dedication, loyalty, leadership and support for other officials this past year with aspirations of further developing their referee career. Selected by the Referee Development Committee. Presented to an individual who has demonstrated Technical Leadership in an effort to enhance the reputation of soccer in Alberta. The recipient should lead or inspire others to improve the game of soccer from a regional, provincial, national or international perspective. Selected by the Technical Committee. Presented to a Trained Coach who is working or committed to LTPD Stages 1, 2 and 3 (Active Start, FUNdamentals or Learn to Train) and directs his/her program with sportsmanship and within the principles of the Long Term Player Development plan. The Coach should have aspirations of further development at the provincial and/or national level. Selected by the Technical Committee. Nomination Form Name of Award you are submitting a nomination for: Nominee’s Name: Nominee’s Address: City: Day Time Phone #: Email Address: Postal Code: Evening Phone #: Nominating Member (District/Club): Name of Person completing this form: Position (Board Member, Executive Director, Coach, etc.): Day time Phone #: Evening Phone #: Email Address: Additional Information Required – Please attach a brief write-up of the nominee’s background and accomplishments in soccer in Alberta. Please include a high-quality digital photograph of the nominee with the nomination form. Please indicate who would like to present this award at the Alberta Soccer Awards Banquet if the nominee is successful. If you have any questions about submission of this nomination form, please contact: communications@albertasoccer.com Please submit your completed nomination form by Friday December 12th 2014 via the following: Alberta Soccer Association Subject Line: Alberta Soccer Awards Nomination 9023 – 111 Ave. Edmonton, AB T5B 0C3 Fax: (780) 474-6300 Email: communications@albertasoccer.com Each Award Winner will receive two complimentary tickets to attend the Alberta Soccer Awards Banquet on January 24, 2015 at the Courtyard Marriott Calgary Airport For recent award winners, please visit our website www.albertasoccer.com under: Member Services > Awards Thank you for your submission!
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