Nomination Form
25-Year Service Award

 

Selection Criteria:

This award is available to all coaches of all age group levels. Nominations can be made by yourself, an administrator, a colleague, or any other member of the wrestling community. You must be a current NWCA member to qualify. Final approval of all recipients will be made by the NWCA executive committee.

Enter nominee information

Name
Address
City
State Zip
Home Phone


School
Address
City
State Zip
Bus Phone

 

1. How many years has the nominee coached wrestling in a high school, prep school, College, or university?
School (Head or Assistant)                     Inclusive Dates
A.   

B.   

C.   

 

2. How many years has the nominee coached wrestling in a club or recreation situation?
      Club                                                   Inclusive Dates
A.   

B.   

C.   

 

3. List the offices that the nominee has held in the service of amateur wrestling on a state, national, or international level.
      Office                                                   Inclusive Dates
A.   

B.   

C.   

4. Please describe any other service in which the nominee may have contributed to amateur wrestling that may have bearing on this award.


5. Is nominee currently an NWCA member? (Y/N)

Does nominee wish to attend the NWCA social? (Y/N)
Number of social tickets needed


February 15 is the deadline to submit nominations for those individuals who wish to be recognized at the Division I NCAA tournament social.

I do hereby verify that all information is accurate for the above nominee

Person nominating the individual Date

Relationship to the nominee

Home Phone Number

Work Phone Number