Gerald Botdorf Service Award Nomination Form

Award Criteria

This award is bestowed upon an individual or coach; a representative of the media; a company or entity who, through their efforts, deeds, writings, activities and programs, creates/created a very positive spirit and image of/for the game.

General Information

1. The award will be given annually to one nominee.
2. Individuals/entities can be nominated any number of years but are only eligible to receive the award one time.
3. Only Pennsylvania Soccer Coaches Association members can make nominations and it must be on the official nomination form.
4. The nominees will be reviewed and chosen by The Gerald Botdorf PSCA Soccer Service Award Committee.

Completed forms must be submitted by the last day of September.

Your Information

Name:*

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Position:*

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Work Address:*

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Work Phone:*

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Home Address:*

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Home Phone:*

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Nominee Information

Name:*

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Address:*

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Profession:*

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Where Employed:*

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How long have you known the nominee and in what capacity?:*

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BE VERY CLEAR THAT NOMINEE MEETS SERVICE AWARD CRITERIA. In the following section or on a separate attached sheet, please give a statement setting forth the accomplishments of the nominee in his or her career. Please be detailed and include personal contributions, honors received, soccer achievements, etc.

Statement:*

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Submit Nomination