DISTINGUISHED SERVICE AWARD
New England Local Masters Swimming Committee (NELMSC)
Thank you for taking the time to nominate someone special! Please read the information, complete the Form below and Submit completed entries to Tara Mack, at the email provided.
Information regarding the nomination and selection process for the DISTINGUISHED SERVICE AWARD
Distinguished Service Info, 2019
NELMSC DISTINGUISHED SERVICE Award Nomination Form
Please complete the following form and hit the Submit Form button when you are done! Thank you!
NOMINEE:
Your answer
CLUB:
Your answer
ADDRESS:
Your answer
PHONE:
Your answer
E-MAIL
Your answer
NOMINATOR (person filling out this form)
Your answer
RELATIONSHIP
Your answer
ADDRESS:
Your answer
PHONE:
Your answer
E-MAIL:
Your answer
Number of years the nominee has been registered with NELMSC
Your answer
1. Leadership positions held:
Your answer
2. Summarize or list outstanding contributions made at the Club level:
Your answer
3. Summarize or list outstanding contributions made at the NELMSC level:
Your answer
4. Summarize or list outstanding contributions made at the National level:
Your answer
5. Other contributions worthy of mention:
Your answer
Send nominations electronically by clicking on Submit
Please send any questions or comments to Tara Mack at: neawardsusms@gmail.com
THANK YOU!!!
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service