Nominee Details

Nominating Club (if appropriate):

Nominee Name:

Nominee Address:

Nominee Post Code:

Nominee Telephone:

Nominee Mobile:

Nominee Email:

Nominee Sport:

Nominator Details

Nominator Name:

Nominator Position held in club:

Nominator Student Number:

Course of Study:

Nominator Address:

Nominator Post Code:

Nominator Telephone:

Nominator Mobile:

Nominator Email:

Contribution to Queen's Sport Award

This award seeks to recognise and record the sterling work being done by individuals in the area of student sport. The individual can be a student, a member of staff or someone external to the University who is involved in any capacity (other than a coach) in Queen's sport.

Individual Contribution

Please say why you feel the individual deserves this award, highlighting, among other things, his/her commitment, key achievements, personal qualities, experience and qualifications (if relevant).

Award:

Additional Background Information

Please provide any further information you feel would be useful for the Blues Committee in their deliberations.

Additional Background Information: