Robert W. Robinson High School Long-Term Service Award
Profile Form
Criteria
An individual: a) Must be a current member of United Soccer Coaches for at least 20 years if actively coaching, or if inactive/retired, previously been a member for at least 20 years or more; b) must have coached and/or been a soccer administrator at the high school level for a minimum of 20 years; c) must have demonstrated outstanding long-term service and dedication to United Soccer Coaches and high school soccer; d) must have made contributions that have had a positive impact on the improvement, advancement and/or promotion of United Soccer Coaches and/or high school soccer; e) must have conducted himself/herself in a way that exemplifies the United Soccer Coaches Code of Ethics. Please have all your information ready.
Nominee Name:
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First Name
Last Name
Nominee Email:
*
example@example.com
Nominee Phone Number
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-
Area Code
Phone Number
Nominee Home Address:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nominee School:
Nominee School Address: (if applicable)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Years Coaching and/or in soccer administration at the High School Level:
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Years as a member of United Soccer Coaches:
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Service to United Soccer Coaches:
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Service to High School soccer at the National, State, and/or Local Level:
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List Awards and Honors starting with National, Regional and then State/ Local recognition: (Team records and accomplishments not needed)
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Contributions that have had a positive impact on the improvement, advancement and/or service to High School soccer:
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Other pertinent Information of Individual's service to High School Soccer:
Submit
Should be Empty: