EDEN DISTRICT SPORT COUNCIL

Sport and Recreation Awards

2016

Nomination Forms

RULES AND REGULATIONS

CONFIDENTIAL

In partnership with

Please note

  • only one nomination per federation except where stated otherwise]
  • Not all winners will go through to the WC Awards as WC does not cater for them
  • Please forward a high resolution photo – preferably a head & shoulders one!

DISTRICT

In order to eliminate possible errors with regards to the names of nominated individuals, teams or organizations kindly complete the following nomination forms in clear block capitals or computer. A colour ID sized photograph should accompany all nominations

FORM

/

CATEGORY

/

PAGE

1

/

ADMINISTRATOR OF THE YEAR

/

4

2

/

COACH OF THE YEAR

/

5

3

/

FARM WORKERS AWARD OF THE YEAR

/

6

4

/

NEWCOMER OF THE YEAR

/

7

5

/

RECOGNITION OF TECHNICAL EXCELLENCE

/

8

6

/

FEDERATION OF THE YEAR

/

9

7

/

TEAM OF THE YEAR

/

10

8

/

INDIGENOUS GAMES STAR OF THE YEAR

/

11

9

/

PRIMARY SCHOOLS SPORTMAN OF THE YEAR

/

12

10

/

PRIMARY SCHOOLS SPORTWOMAN OF THE YEAR

/

13

11

/

SCHOOLS SPORTSMAN OF THE YEAR

/

14

12

/

SCHOOLS SPORTSWOMAN OF THE YEAR

/

15

13

/

SPORTSWOMAN WITH A DISABILITY OF THE YEAR

/

16

14

/

SPORTSMAN WITH A DISABILITY OF THE YEAR

/

17

15

/

RIAAN LOOTS AWARD OF THE YEAR

/

18

16

/

JUNIOR SPORTSWOMAN OF THE YEAR

/

19

17

/

JUNIOR SPORTSMAN OF THE YEAR

/

20

18

/

MASTER SPORTWOMAN OF THE YEAR

/

21

19

/

MASTER SPORTMAN OF THE YEAR

/

22

20

/

SPORTSWOMAN OF THE YEAR

/

23

21

/

SPORTSMAN OF THE YEAR

/

24

22

/

VOLUNTEER OF THE YEAR

/

25

23

/

SCHOOL TEAM OF THE YEAR

/

26

24

/

DEVELOPING SCHOOL TEAM OF THE YEAR

/

27

25

/

SPORT COMMUNITY BUILDER OF THE YEAR

/

28

26

/

LIFETIME ACHIEVER

/

29

27

/

LEGEND AWARD

/

30

28

/

ROLL OF HONOUR

/

31

29 / JOURNALIST OF THE YEAR / 32
30 /

PHOTOGRAPHER OF THE YEAR

/ 33
31 /

PRESIDENT’S AWARD

/ 34

FORM 1

ADMINISTRATOR OF THE YEAR 2016

  1. NOMINEE DETAILS [Please forward a high resolution photo]

Full Names
Surname
Home language
Sports Code
Postal address
Suburb / Area Code
Work Phone No / Home No
Cellular No
Email Address
  1. NOMINATION CRITERIA (not exclusive)
  1. Sustained and truly outstanding achievements and qualities as an administrator in sport for the period 16 October 2015 to 30 September 2016.
  2. Organizer of major district, provincial, national, international competitions.
  3. Held responsible senior positions / roles in district, provincial, nationaland international federations / associations / committees and specific contributions at this level.
  4. Contribution to the training and development of sports administrators.
  5. Contribution to overall sports development.
  6. Dedicated time and effort for the love of sport
  1. MOTIVATION

Please provide on a separate sheet (marked Form 1.1), a full verifiable motivation with reference to the above as well as any other information you deem necessary to be considered. It should not be exceeding 120 words, highlighting the major achievements of the nominee. Failure to submit such a motivation could disqualify the candidate.

  1. RANKING (If applicable)

Provincial
National
International

Copy of Identity document enclosed ……. Identity sized Photo enclosed …….

  1. NOMINATOR

NAME …………………………………………………………. SIGNATURE……………………………… Date

FORM 2

COACH OF THE YEAR 2016

  1. NOMINEE DETAILS[Please forward a high resolution photo]

Full Names
Surname
Home language
Sports Code
Postal address
Suburb / Area Code
Work Phone No / Home No
Cellular No
Email Address
  1. NOMINATION CRITERIA(not exclusive)
  1. Standard and level of coaching for the period 16 October 2015 to 30 September 2016,

at club,district, provincial, national or international levels

  1. Ensured by means of a consistent high standard of coaching Western Province sports persons achieve outstandingly atdistrict, provincial, national or international level.
  2. Instilled the values of honesty, commitment, dedication and hard work in his/her athletes.
  3. Team/Athlete’s achievements-performance atdistrict, provincial, national, international level
  4. Coaches involvement and commitment to the development programme of the federation
  5. Facilitate the progress of players from marginalized communities
  1. MOTIVATION

Please provide on a separate sheet (marked Form 2.1), a full verifiable motivation with reference to the above as well as any other information you deem necessary to be considered. It should not be exceeding 120 words, highlighting the major achievements of the nominee. Failure to submit such a motivation could disqualify the candidate.

  1. RANKING (If applicable)

Provincial
National
International

Copy of Identity document enclosed ……. Identity sized Photo enclosed …….

  1. NOMINATOR

NAME …………………………………………………………. SIGNATURE……………………………………………Date

FORM 3

FARM WORKER AWARD OF THE YEAR 2016

  1. NOMINEE DETAILS[Please forward a high resolution photo]

Full Names
Surname
Home language
Sports Code
Postal address
Suburb / Area Code
Work Phone No / Home No
Cellular No
Email Address
  1. NOMINATION CRITERIA (not exclusive)
  1. People who made a significant contribution to farm worker sport as an athlete, administrator, official or coach
  1. People who are regarded as sport leaders / role models in the farm worker community
  1. They could be male or female
  1. For the period of 16 October 2015 to 30 September 2016.
  1. MOTIVATION

Please provide on a separate sheet (marked Form 4.1), a full verifiable motivation with reference to the above as well as any other information you deem necessary to be considered. It should not be exceeding 120 words, highlighting the major achievements of the nominee. Failure to submit such a motivation could disqualify the candidate.

  1. RANKING (If applicable)

Provincial
National
International

Copy of Identity document enclosed ……. Identity sized Photo enclosed …….

  1. NOMINATOR

NAME …………………………………………………………. SIGNATURE……………………………………………Date

FORM 4

NEWCOMER OF THE YEAR 2016

  1. NOMINEE DETAILS[Please forward a high resolution photo]

Full Names
Surname
Home language
Sports Code
Postal address
Suburb / Area Code
Work Phone No / Home No
Cellular No
Email Address
  1. NOMINATION CRITERIA (not exclusive)
  1. The award goes to the athlete who has broken into the international sports scene for the first time and produced performances of the highest standard demonstrating the potential of being a world class/record holder.
  2. For period 16 October 2015 to 30 September 2016.
  1. MOTIVATION

Please provide on a separate sheet (marked Form 18.1), a full verifiable motivation with reference to the above as well as any other information you deem necessary to be considered. It should not be exceeding 120 words, highlighting the major achievements of the nominee. Failure to submit such a motivation could disqualify the candidate.

  1. RANKING (If applicable)

Provincial
National
International

Copy of Identity document enclosed ……. Identity sized Photo enclosed …….

  1. NOMINATOR

NAME …………………………………………………………. SIGNATURE……………………………………………

FORM 5

RECOGNITION OF TECHNICAL EXCELLENCE2016

  1. NOMINEE DETAILS[Please forward a high resolution photo]

Full Names
Surname
Home language
Sports Code
Postal address
Suburb / Area Code
Work Phone No / Home No
Cellular No
Email Address
  1. NOMINATION CRITERIA(not exclusive)
  1. Sustained and truly outstanding achievement and qualities as a referee/ judge/ technical official/ umpire. For the period of 16 October 2015 to 30 September 2016.
  1. Participation as referee/ judge/ umpire/ atdistrict, provincial, national and international competitions
  2. Held an executive position/ role on a district, provincial, national and international federation/ association/ committee for a specified period.
  3. Consistent contribution to the training and development of umpires/ referees/ judges/ technical officials in the region.
  1. MOTIVATION

Please provide on a separate sheet (marked Form 7.1), a full verifiable motivation with reference to the above as well as any other information you deem necessary to be considered. It should not be exceeding 120 words, highlighting the major achievements of the nominee. Failure to submit such a motivation could disqualify the candidate(s).

  1. RANKING (If applicable)

Provincial
National
International

Copy of Identity document enclosed ……. Identity sized Photo enclosed …….

  1. NOMINATOR

NAME …………………………………………………………. SIGNATURE……………………………………………Date

FORM 6

FEDERATION OF THE YEAR 2016

  1. NOMINEE DETAILS[Please forward a high resolution photo]

Federation Name
Chairperson
Home language
Sports Code
Postal address
Suburb / Area Code
Work Phone No / Home No
Cellular No
Email Address
  1. NOMINATION CRITERIA (not exclusive)
  2. Outstanding performance of the various teams/individuals of the federation at club, district, inter-provincial and international level.
  3. Promotion of the sport and sport training and administration programmes for the youth in marginalised communities. Promotion of elite sports persons, women and sport persons with a disability.
  4. Financial accountability and attendance of sport council meetings and events.
  5. Opportunities created to promote sport to increase growth in numbers, both of clubs and participants
  6. “Professional/Efficient/Effective” administration of the sport
  7. Opportunities created to empower/acknowledge volunteers and athletes.
  8. Federation must be in good standing.
  9. For the period of 16 October 2015 to 30 September 2016.
  1. MOTIVATION

Please provide on a separate sheet (marked Form 8.1), a full verifiable motivation with reference to the above as well as any other information you deem necessary to be considered. It should not be exceeding 120 words, highlighting the major achievements of the nominee. Failure to submit such a motivation could disqualify the candidate.

  1. RANKING (If applicable)

Provincial
National
International
  1. NOMINATOR

NAME …………………………………………………………. SIGNATURE……………………………………………Date

FORM 7

TEAM OF THE YEAR 2016

  1. NOMINATED TEAM DETAILS [Please forward a high resolution photo]

Team Name
Sports Code
Contact Name
Work Phone No / Home No
Cellular No
Email Address
Players Name / Players Address
  1. NOMINATION CRITERIA(not exclusive)
  1. Professional or amateur sports team who produced outstanding performance and consistently setting the standard in their respective code for the period 16 October 2015 to 30 September 2016.
  2. Contribution to the sport other than on the ‘field’.
  3. Ranking and or Medals/trophies/competitions won.
  1. MOTIVATION

Please provide on a separate sheet (marked Form 12.1), a full verifiable motivation with reference to the above as well as any other information you deem necessary to be considered. It should not be exceeding 120 words, highlighting the major achievements of the nominee. Failure to submit such a motivation could disqualify the candidate.

  1. RANKING (If applicable)

Provincial
National
International

Copy of Identity documents enclosed ……. Photo of Team enclosed …….

  1. NOMINATOR

NAME …………………………………………………………. SIGNATURE……………………………………………Date

FORM 8

INDIGENOUS GAMES STAR OF THE YEAR 2016

1. NOMINEE DETAILS[Please forward a high resolution photo]

Full Names
Surname
Home language
Sports Code
Postal address
Suburb / Area Code
Work Phone No / Home No
Cellular No
Email Address

2. NOMINATION CRITERIA(not exclusive)

  1. This will cover all indigenous codes that participated in the National or Interprovincial and district Indigenous Games Festival.
  2. The winners of the indigenous games festival and any other national championship they are pitted against each other.
  3. For the period of 16 October 2015 to 30 September 2016.
  1. The code must practice fair play and team work.
  2. Kho-kho, Dibeke, Lintonga, Jukskei, Morabaraba, Ncuva, Kgati, Diketo and Drie Stokkie.

3. MOTIVATION

Please provide on a separate sheet (marked Form 5.1), a full verifiable motivation with reference to the above as well as any other information you deem necessary to be considered. It should not be exceeding 120 words, highlighting the major achievements of the nominee. Failure to submit such a motivation could disqualify the candidate.

4. RANKING (If applicable)

Provincial
National
International

Copy of Identity document enclosed ……. Identity sized Photo enclosed …….

5. NOMINATOR

NAME …………………………………………………………. SIGNATURE……………………………………………Date

FORM 9

PRIMARY SCHOOLS SPORTSMAN OF THE YEAR 2016

1.NOMINEE DETAILS[Please forward a high resolution photo]

Full Names
Surname
Home language
Sports Code
Postal address
Suburb / Area Code
Work Phone No / Home No
Cellular No
Email Address
  1. NOMINATION CRITERIA (not exclusive)
  1. Male primary school athlete that has excelled as an all-rounder at highest level;
  2. Performance as a role model.
  3. Contribution to the sport other than on the ‘field’.
  4. Medals won district, provincial, national or international events including records set / ranking.
  5. For period 16 October 2015 to 30 September 2016.
  6. Candidate must still be at primary school.
  7. Only ONE can be nominated
  1. MOTIVATION

Please provide on a separate sheet (marked Form 18.1), a full verifiable motivation with reference to the above as well as any other information you deem necessary to be considered. It should not be exceeding 120 words, highlighting the major achievements of the nominee. Failure to submit such a motivation could disqualify the candidate.

  1. RANKING (If applicable)

Provincial
National
International

Copy of Identity document enclosed ……. Identity sized Photo enclosed …….

  1. NOMINATOR

NAME …………………………………………………………. SIGNATURE……………………………………………

FORM 10

PRIMARY SCHOOLS SPORTSWOMEN OF THE YEAR 2016

1.NOMINEE DETAILS[Please forward a high resolution photo]

Full Names
Surname
Home language
Sports Code
Postal address
Suburb / Area Code
Work Phone No / Home No
Cellular No
Email Address

2.NOMINATION CRITERIA (not exclusive)

  1. Female primary school athlete that has excelled as an all-rounder at highest level;
  2. Performance as a role model.
  3. Contribution to the sport other than on the ‘field’.
  4. Medals won district, provincial, national or international events including records set / ranking.
  5. For period 16 October 2015 to 30 September 2016.
  6. Candidate must still be at primary school.
  7. Only ONE can be nominated
  1. MOTIVATION

Please provide on a separate sheet (marked Form 18.1), a full verifiable motivation with reference to the above as well as any other information you deem necessary to be considered. It should not be exceeding 120 words, highlighting the major achievements of the nominee. Failure to submit such a motivation could disqualify the candidate.

  1. RANKING (If applicable)

Provincial
National
International

Copy of Identity document enclosed ……. Identity sized Photo enclosed …….

  1. NOMINATOR

NAME …………………………………………………………. SIGNATURE……………………………………………

FORM 11

SCHOOLS SPORTSMAN OF THE YEAR 2016

1.NOMINEE DETAILS[Please forward a high resolution photo]

Full Names
Surname
Home language
Sports Code
Postal address
Suburb / Area Code
Work Phone No / Home No
Cellular No
Email Address

2.NOMINATION CRITERIA (not exclusive)

  1. Outstandingdistrict, provincial, national and international performances.
  2. U-20 Junior male athlete that has excelled in thedistrict, provincial, national and international arena.
  3. Performance as a role model.
  4. Contribution to the sport other than on the ‘field’.
  5. Medals wondistrict, provincial, national or international events including records set / ranking.
  6. For period 16 October 2015 to 30 September 2016.
  7. Candidate must still be at school – only ONE candidate can be nominated.
  1. MOTIVATION

Please provide on a separate sheet (marked Form 18.1), a full verifiable motivation with reference to the above as well as any other information you deem necessary to be considered. It should not be exceeding 120 words, highlighting the major achievements of the nominee. Failure to submit such a motivation could disqualify the candidate.

4.RANKING (If applicable)

Provincial
National
International

Copy of Identity document enclosed ……. Identity sized Photo enclosed …….

5.NOMINATOR

NAME …………………………………………………………. SIGNATURE……………………………………………

FORM 12

SCHOOLS SPORTSWOMAN OF THE YEAR 2016

  1. NOMINEE DETAILS[Please forward a high resolution photo]

Full Names
Surname
Home language
Sports Code
Postal address
Suburb / Area Code
Work Phone No / Home No
Cellular No
Email Address
  1. NOMINATION CRITERIA (not exclusive)
  1. Outstandingdistrict, provincial, national and international performances.
  2. U-20 Junior female athlete that has excelled in thedistrict, provincial, national and international arena.
  3. Performance as a role model.
  4. Contribution to the sport other than on the ‘field’.
  5. Medals wondistrict, provincial, national or international events including records set / ranking.
  6. For period 16 October 2015 to 30 September 2016.
  7. Candidate must still be at school – only ONE candidate can be nominated
  1. MOTIVATION

Please provide on a separate sheet (marked Form 17.1), a full verifiable motivation with reference to the above as well as any other information you deem necessary to be considered. It should not be exceeding 120 words, highlighting the major achievements of the nominee. Failure to submit such a motivation could disqualify the candidate.

  1. RANKING (If applicable)

Provincial
National
International

Copy of Identity document enclosed ……. Identity sized Photo enclosed …….

  1. NOMINATOR

NAME …………………………………………………………. SIGNATURE……………………………………………Date

FORM 13

SPORTSWOMAN WITH A DISABILITY OF THE YEAR 2016

  1. NOMINEE DETAILS[Please forward a high resolution photo]

Full Names
Surname
Home language
Sports Code
Postal address
Suburb / Area Code
Work Phone No / Home No
Cellular No
Email Address
  1. NOMINATION CRITERIA(not exclusive)
  1. Outstandingdistrict, provincial, national and international performances.
  2. Female athlete with a disability that has excelled in thedistrict, provincial, national and international arena.
  3. Performance as a role model.
  4. Contribution to the sport other than on the ‘field’.
  5. Medals won at district, provincial, national or international events including records set / ranking achieved.
  6. What obstacles had the sports person to overcome?
  7. For period 16 October 2015to 30 September 2016.
  1. MOTIVATION

Please provide on a separate sheet (marked Form 15.1), a full verifiable motivation with reference to the above as well as any other information you deem necessary to be considered. It should not be exceeding 120 words, highlighting the major achievements of the nominee. Failure to submit such a motivation could disqualify the candidate.

  1. RANKING (If applicable)

Provincial
National
International

Copy of Identity document enclosed ……. Identity sized Photo enclosed …….

  1. NOMINATOR

NAME …………………………………………………………. SIGNATURE……………………………………………Date

FORM 14

SPORTSMAN WITH DISABILITY OF THE YEAR 2016

  1. NOMINEE DETAILS[Please forward a high resolution photo]

Full Names
Surname
Home language
Sports Code
Postal address
Suburb / Area Code
Work Phone No / Home No
Cellular No
Email Address
  1. NOMINATIONCRITERIA(not exclusive)
  1. Outstandingdistrict, provincial, national, international performances.
  2. Male athlete with a disability that has excelled in the district, provincial, national and international arena.
  3. Performance as a role model.
  4. Contribution to the sport other than on the ‘field’.
  5. Medals won district, provincial, national or international events including records set / ranking.
  6. What obstacles has the sports person had to overcome?
  7. For period 16 October 2015 to 30 September 2016.
  1. MOTIVATION

Please provide on a separate sheet (marked Form 16.1), a full verifiable motivation with reference to the above as well as any other information you deem necessary to be considered. It should not be exceeding 120 words, highlighting the major achievements of the nominee. Failure to submit such a motivation could disqualify the candidate.

  1. RANKING (If applicable)

Provincial
National
International

Copy of Identity document enclosed ……. Identity sized Photo enclosed …….

  1. NOMINATOR

NAME …………………………………………………………. SIGNATURE……………………………………………Date

FORM 15

RIAAN LOOTS FAIR PLAY AWARD OF THE YEAR 2016

1. NOMINEE DETAILS[Please forward a high resolution photo]

Full Names
Surname
Home language
Sports Code
Postal address
Suburb / Area Code
Work Phone No / Home No
Cellular No
Email Address

2. NOMINATION CRITERIA(not exclusive)

  1. Fair play is the core of this nomination.
  2. A person/team/group that have exhibited fair play in their sport code.
  3. It can be a male or female.
  4. The stamping out of violence in sport.
  5. The team or individual must practice fair play and team work.
  6. For the period of 16 October 2015 to 30 September 2016.

3. MOTIVATION

Please provide on a separate sheet (marked Form 6.1), a full verifiable motivation with reference to the above as well as any other information you deem necessary to be considered. It should not be exceeding 120 words, highlighting the major achievements of the nominee. Failure to submit such a motivation could disqualify the candidate(s).