2021 SCAHPERD Advocacy Award Online Nomination

South Carolina Alliance for Health, Physical Education, Recreation, and Dance
Advocacy Award Nomination
The ADVOCACY AWARD recognizes a person who has significantly promoted and/or advanced the mission of SCAHPERD in South Carolina.

To be eligible the nominee must be: a resident of South Carolina; not be in a profession or employment area in which the members are reasonably considered candidates for membership in SCAHPERD; and may not have been a member of SCAHPERD for the most recent five (5) years.

The evaluation criteria include: Promotion or advancement of SCAHPERD’s mission through sustained significant contributions in one or more of these areas: Education, legislation/regulation, community and/or statewide programs, and/or personal leadership, with integrity, in non-traditional areas.

Deadline is September 11th.
Name of Nominee *

First Name Last Name
Present Position *
Nominee's Home Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Nominee's Home Phone Number *

Area Code Phone Number
Nominee's Work Phone Number *

Area Code Phone Number
Nominee's E-mail *
Nominee's Occupation/s within the last 5 years *
Has the Nominee ever been a member of SCAHPERD *

Yes No
If the Nominee has been a member of SCAHPERD? Please provide the dates below.
Nominee's Date of Birth *
Nominator’s Name *

First Name Last Name
Nominator’s Home Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Nominator’s Phone Number *

Area Code Phone Number
Nominator’s E-mail *
example@example.com
The evaluation criteria include: Promotion or advancement of SCAHPERD’s mission through sustained significant contributions in one or more of these areas: Education, legislation/regulation, community and/or statewide programs, and/or personal leadership, with integrity, in non-traditional areas.

Specifically, describe the sustained, significant contributions this person has made to the mission of SCAHPERD in any of the areas listed above. If you would prefer to upload a letter of nomination, please put “See attached” in the space below and upload your letter.
*
Upload letter of nomination

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South Carolina Alliance for Health, Physical Education, Recreation, and Dance