Volunteer of the Year 2009

* Indicates required information

Closing date for receipt of nominations: 31 March 2010.

Please complete this form as fully as possible. If you don't have all of the nominee's details, please complete what you can.

Details of the person you wish to nominate (the nominee):

I am nominating:

Their details:

Name:

Work Address

Work telephone:

Email address:

CSSC No. (if known):

Specific roles (e.g club secretary):

In what way has the person made a voluntary contribution(s) to CSSC during 2009?

Why do you think this person deserves recognition and who would agree with your view?

Please outline the nature of the nominee's contribution, focussing on their personal skills, input and abilities

What would have happened if this person hadn't been a CSSC volunteer during 2009?

Are there any other reasons why you believe this person should win the Award? (e.g. an original idea, overcoming a disability, etc).

Details About You (The Nominator):

Name:

Club/Association:

Position (e.g. secretary):

Work Address:

Work Tel.

Email address:

I confirm that all information given on this form is correct to the best of my knowledge.

Date: (dd/mm/yyyy)