Coaching Manitoba Excellence Awards
Presented by Manitoba Lotteries

Years of Service Online Form

Objective
This recognition acknowledges coaches who have a long history of coaching in Manitoba throughout their lifetime.

Eligibility
The coach must have coached a minimum of 25-30 years in Manitoba.

Nomination Deadline: February 4, 2011

	Coach Information
Name of Coach:
Organization (Sport):
Address:
City:
Postal Code:
E-mail:
Phone (Work):
Phone (Home):
Please provide a brief 2 to 3 sentence description of your years coaches, sports coached and where as well as significant accomplishments. This statement will be used in its entirety or adapted for  the CMEA banquet.
	Reference
Reference Name:
Organization (Sport):
Daytime Phone Number:
Address:
City:
Postal Code:
E-mail: