Referee of the Year Award Nomination Application
Please complete the nomination you wish to make by filling in the appropriate fields. Completing the application to it's fullest will help the selection committee in evaluating the nomination. Nomination applications must be submitted before January 5th.
Nominating Person Include your full name.
*
Nominating Person's Email Please include your email address, should we need to contact you.
*
Nominating Person's Phone Number Please include your Home or Cell number starting with the area code.
*
What relationship or position(s) are you currently to the Nominee? Please select all that apply.
*
Parent of the Referee
Son
Daughter
Sibling
Friend of the Referee
I'm a Team Parent
Coach
Fellow Player
Team Manager
Fellow Referee
Assessor
Instructor
Assignor
Referee Administrator
Non-Referee Administrator
League Official
State Association Officer
Other:
Who would you like to nominate? Please include their full name.
*
Which award would you like to nominate them for? Choose from the selections.
*
Please Select
John M. Bouda Referee of the Year for Adult Soccer
Jr. Referee of the Year - Male (Ages 14-17)
Jr. Referee of the Year - Female (Ages 14-17)
Paul M. James Young Referee of the Year - Male (Ages 17-22)
Paul M. James Young Referee of the Year - Female (Ages 17-22)
Adult Referee of the Year for Youth Soccer - Male (ages 23 and older)
Adult Referee of the Year for Youth Soccer - Female (ages 23 and older)
Dave Williams Award
What is their age?
*
Please Select
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
What is their email address? Leave this blank if you do not know their email address.
*
What is their home city? Leave this blank if you do not know their home city.
*
What is their home address? Leave this blank if you do not know their address.
*
Does the nominee currently play soccer? Choose Yes or No.
*
Please Select
Yes
No
If they do play soccer; what level do they play? Choose all that currently apply.
*
Youth Recreation
Youth Competitive
High School Soccer
College
College Club
Adult Recreation
Adult Competitive
Currently does not play
Is the Nominee currently in High School; if so where?
*
Is the Nominee currently in High School; if so where?
*
Is the Nominee currently in College; if so where?
*
Why do you believe they are deserving of this award? Please include a brief explanation.
*
What are the Nominee's interests or hobbies outside of soccer?
*
Submit
Should be Empty: