Golf Manitoba - DSA Nomination Form

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DISTINGUISHED SERVICE AWARD NOMINATION FORM

The Golf Manitoba Distinguished Service Awards will be based on the following:
- long time service to Golf Manitoba (including MGA & MLGA)
- has gone above and beyond the expectations of a volunteer
- proven to be an advocate for the game and the Association
- demonstrated commitment to amateur golf in Manitoba and Northwest Ontario
- displayed qualities of a positive role model for other volunteers

Submission Deadline is August 1

Nominee Name *

Nominee Name

Nominee Address *

Nominee Address

Nominee Phone *

Nominee Phone

Nominee Email *

Nominee Email

Nominee Birthdate *

Nominee Birthdate

NOMINEE'S ACHIEVEMENTS

Please attach/include information outlining the following:

1. The number of years of service to Golf Manitoba (including MLGA and/or MGA) *

1. The number of years of service to Golf Manitoba (including MLGA and/or MGA)

2. The achievements in golf with a particular emphasis on achievements in the current year, ranked in priority: international, national, provincial and club level *

2. The achievements in golf with a particular emphasis on achievements in the current year, ranked in priority: international, national, provincial and club level

3. Contributions to the enhancement and development of golf programs *

3. Contributions to the enhancement and development of golf programs

4. How the individual exemplifies the spirit, philosophy, and goals of Golf Manitoba *

4. How the individual exemplifies the spirit, philosophy, and goals of Golf Manitoba

5. Examples of leadership, innovation and positive influence *

5. Examples of leadership, innovation and positive influence

6. Exceptional circumstances and/or special challenges *

6. Exceptional circumstances and/or special challenges

Please upload any documents that pertain to this submission

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