Lifetime Achievement Award

This award is for an individual who has shown a consistent lifetime commitment and made an outstanding and exceptional contribution to community sport within Lancashire.

To download a word copy of the form: Lifetime Achievement Award 2018

Please send the Nomination form to events@activelancashire.org.uk or you can fill out the form below.

Please note the form below cannot be saved, please complete in one or use the word form above.

*Nominations accepted for Chorley, Fylde, Hyndburn, Lancaster, Pendle, Ribble Valley, Rossendale, West Lancashire and Wyre.
Nominations to, Blackburn,Burnley, Blackpool South Ribble and Preston have now closed.*

Name of Nominee:

Local Authority:

Address:

Postcode:

Telephone Number:

Email Address:

Club:

Length of time involved:

Brief outline of the continuous commitment and dedication they have shown over a number of years:

Description of role, highlighting any particular sectors of the community that had benefited from this work:

Challenges overcome to get to this stage:

Testimonies of those enabled.Please include name and contact details:

Any other supporting information you would like the judges to take into account:

I have read and understood the rules of entry: YesNo

Nominated by:

Nominated by email: