Ulster Rugby vs Connacht

SONI COMMUNITY CHAMPIONS

Name of Nominee

Nominee's Club

Main position held at club (please list only ONE main position)

How long has this person been volunteering with this club?

Nominator's email address

Nominator's telephone number

Please tick which category you are nominating

Adult

Youth and Mini

Tick to confirm nominee is 16 and over

Nominee's email address

Nominee's telephone number

Tick here to confirm that nominee is happy to take part in PR and publicity

including photographs and interviews

Please indicate below in no more than 250 words the contribution the person has made to the club

(role, responsibilities, hours contributed)

continue on seperate sheet if necessarry

Please indicate below in no more than 250 words, the impact this contribution has had on the club

(e.g. money raised, organising events, increase in members, increasing impact on team spirit etc)

continue on seperate sheet if necessarry

SONI COMMUNITY CHAMPIONS

ENTRY FORM

Please cut out this page and submit at Reception