2016 Pickleball Pioneer Award - Nomination Form
You can "Tab" from field to field or select fields with mouse.

Selections with an asterisk (*) must be filled out.

REMEMBER to press "Submit" button at the end of this form.

The deadline for submitting nominations is MARCH 18, 2016.
Criteria for Nomination

* Nominee should have a minimum of seven (7) years involvement in the sport and be a member in good standing with USAPA.

* Nominee should be an individual in the Atlantic South Region who has served the Pickleball community with integrity and generosity of time and effort; whose unselfish interest in and love of the game has extended beyond playing; and who has worked to introduce pickleball into new communities, expand participation and provide competitive and recreational opportunities which enhance, distinguish and further develop the sport.
Current Date *
Your answer
Nominee Name
Enter Last Name of Nominee *
Your answer
Enter First Name of Nominee *
Your answer
Enter Middle Initial of Nominee
(Not required)
Your answer
Nominee Information
Street Address *
Your answer
City *
Your answer
State and ZIP code *
Your answer
Phone Number (best for contact) *
Your answer
Nominee Gender *
Nominee Qualifications
Has the Nominee been involved in Pickleball at least 7 years? *
A Nominee must have been involved in Pickleball at least 7 years.
Is the Nominee a USAPA member in Good Standing? *
Has Nominee participated in any of the following? *
(Check all that apply)
Required
Nominee Supporting Text
Why should Nominee receive this award? *
The following block is for you to relate why you think this person has helped advance the cause of Pickleball over their time in the sport. Please be explicit (consult with the Nominee) as this information will be used by the committee to select a winner.
Your answer
Nominator Info
This is information on the person who is submitting this nomination.
Nominator Name *
Last, First, MI
Your answer
Street Address *
Your answer
City, State, ZIP Code *
Your answer
Phone Number *
(Best contact)
Your answer
Email Address
(not required but desirable)
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy