BC Athletics

2012 Road Runner of the Year Award Nomination Form

(For a printer-friendly version of this form click here, if you prefer to mail or fax your nomination.)

All fields in red marked with * are required. Use n/a for any required fields that are not applicable. If you leave required fields blank an alert will pop up indicating which info is missing.

A confirmation of your submission will be emailed to you (nominator's email address).
The confirmation will include instructions on how to make corrections.

Please indicate the gender and membership type of the nominee:
*Gender  
*Membership Type SELECT ONE FROM DROP-DOWN LIST
 
Tell us about the person being nominated:
*Nominee FULL NAME (FIRST & LAST)
*Phone xxx-xxx-xxxx HOME PHONE WITH AREA CODE
*Fax xxx-xxx-xxxx  
*Email  
*Complete Mailing Address STREET, CITY, PROVINCE, POSTAL CODE
*Club  
*Coach  
 
Tell us about yourself, the nominator:
 
*Nominator NAME (FIRST & LAST) OF PERSON MAKING NOMINATION
*Phone xxx-xxx-xxxx HOME PHONE WITH AREA CODE
*Fax xxx-xxx-xxxx  
*Email CONFIRMATION EMAIL WILL BE SENT TO THIS ADDRESS
*Complete Mailing Address STREET, CITY, PROVINCE, POSTAL CODE
 
Who is seconding this nomination?
*Seconded NAME (FIRST & LAST) OF PERSON SECONDING NOMINATION
*Phone xxx-xxx-xxxx HOME PHONE WITH AREA CODE
*Fax xxx-xxx-xxxx  
*Email  
*Complete Mailing Address STREET, CITY, PROVINCE, POSTAL CODE

Event(s) nominated in:

Road Rankings:

Road Running - B.C. www.bcathletics.org/main/road_running.htm#rankings
Road Running - Canada www.athletics.ca/page.asp?id=65
Road Running - World www.iaaf.org/statistics/toplists/

*First Distance e.g. 10km, etc. (ENTER ONE)
*2012 Best Performance Enter a time
*2012 Records set * e.g. Senior Canadian Open
 
*Rankings: All rankings that apply must be entered. Use n/a where not applicable.
Junior: BC    Canada    World    Other 
Senior: BC    Canada    World    Other 
Master: BC    Canada    World    Other 
Next section: If there is no second distance, enter n/a for all required fields.
*Second Distance e.g. 10km, etc. (ENTER ONE)
*2012 Best Performance Enter a time
*2012 Records set * e.g. Senior Canadian Open
 
Rankings: All rankings that apply must be entered.
Junior: BC    Canada    World    Other 
Senior: BC    Canada    World    Other 
Master: BC    Canada    World    Other 
Next section: If there is no third event, enter n/a for all required fields.
*Third Distance e.g. 10km, etc. (ENTER ONE)
*2012 Best Performance Enter a time
*2012 Records set * e.g. Senior Canadian Open
 
Rankings: All rankings that apply must be entered.
Junior: BC    Canada    World    Other 
Senior: BC    Canada    World    Other 
Master: BC    Canada    World    Other 
 
2012 Team Selection: List all teams the nominee was selected to in 2012:
Provincial Teams
Canadian Teams
Other Teams
 
*Contributions and Recognitions appropriate to the award:

Please check the form to make sure all required fields are filled in. Use n/a if not applicable, otherwise you will get a missing data error message. Click Submit button only once.

Incomplete forms will be deleted. Fill in one form for each nominee.
Nominations deadline is October 31, 2012.