Coaching Manitoba :: Coach of the Month : Online Nomination Form

Coach of the Month : Online Nomination Form

	Coach's Name and Contact Information
Name of Coach:
Address:
City:
Postal Code:
E-mail:
Phone (Work):
Phone (Home):
	Coach's Contributions
Sport Nominated For:
Name of Team/Athlete:
Age of Athletes:
Level of Team:
Boys or Girls:
How long has the coach been coaching?
How long has the coach been with this team or athlete?
Other Sports Coached:
How many times a week does this coach meet with his/her athletes?
Coach Education (i.e. NCCP Certification):
What contributions has the coach made to sport? Please provide specifics on the following, if possible: a) Recognition received for past efforts (i.e. awards), b) other roles undertaken outside of current coaching duties (i.e. board or committee involvement, organizing tournaments, seminars attended), c) involvement with other sports
Describe any development or improvements his/her athletes have demonstrated. Please provide specifics on the following, if possible: a) improvements over time spent with coach, b) important milestones achieved (i.e. team/ individual records)
How does the coach demonstrate leadership? Please provide specifics on the following, if possible: a) commitment to promotion and implementation of Fair Play, b) positive role model
Overall why do you think this coach should be selected?
	Nominator's Name and Contact Information
Nominator's Name:
Daytime Phone Number:
Address:
City:
Postal Code:
E-mail:
What best describes your relationship with the coach?
	Additional Reference
Name:
Phone Number: