Fred Stevenson Award Nomination Form
(Award for a Female or Male Hockey Player)
Student Athlete Name:
*
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address:
*
Address:
*
Street Address/Box #
Street Address Line 2
Town/City
Postal Code
Postal / Zip Code
Phone Number:
*
.
Format: (000) 000-0000.
Grade:
*
Street Address Line 2
City
State / Province
Postal / Zip Code
Age:
*
Street Address Line 2
City
State / Province
Postal / Zip Code
School Name:
*
Street Address Line 2
Town/City
Postal Code
Postal / Zip Code
School Address:
*
Street Address/Box #
Street Address Line 2
Town/City
Postal Code
Postal / Zip Code
School Contact (coach or teacher):
*
Street Address Line 2
City
State / Province
Postal / Zip Code
Coach/Teacher Email:
*
Coach/Teacher Phone Number:
*
Format: (000) 000-0000.
Area One:
Academics
Include a copy of grade 12 timetable:
*
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Include a copy of most current high school transcript:
*
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Area Two:
Hockey experience, skills and leadership
List achievements such as team captain, all-star recognition, MVP recognition, awards, etc.:
*
Area Three:
Other sports
List other sports played at school or in your community and give an indication of achievements and/or level of skill:
*
Area Four:
Other areas of involvement in school and/or the community, including volunteerism:
List the clubs, organizations, groups, etc. that you have belonged to and give an indication of the part you played:
*
List the volunteer work in which you have been involved and give an indication of the time spent and your specific involvement:
*
Area Five:
Leadership
Include letters of support written by one of your hockey coaches and principal:
*
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Coach
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*
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Principal
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Area Six:
Essay
Include a 200-word essay on how your current involvement in both your community and hockey will support your future endeavours:
*
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Submit Nomination
Deadline for Nominations is Friday, April 10, 2026
LATE AND INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED
Should be Empty: