The LASA nomination documents

The Lesotho Sport and Recreation Commission shall host the Lesotho Sport Annual Awards (LASA) 2nd Edition on the 17th March 2018. This is to embrace and reward all Basotho  who are excelling in their respective sports disciplines. Here are the Nomination Forms that will be copied and pasted to be filled in.

LESOTHO ANNUAL SPORT AWARDS - LASA 2^nd EDITION GENERAL NOMINATION FORM

NOMINEE DETAILS 1. Award Category:__________________________________________________________ 2. Nominee: ________________________________________________________________ 2.1 Name of: Federation/Team/School/other Organisation: ___________________________________________________________________________ 2.2 ID Number/Registration no. _______________________________________________ 2.3 Discipline _______________________________________________________________ 2.4 Contact Number _________________________________________________________ 2.5 E-mail Address __________________________________________________________ 2.6 Physical Address of the Nominee____________________________________________ ___________________________________________________________________________ 3. NEXT OF KIN DETAILS Please remember that once nominated, the panel has rather short space of time to contact and confirm with the nominees before the final announcement. It is therefore important that accurate and current contact details of the nominees or his/her manager are provided 3.1 Contact Name: _____________________________________________________________ 3.2 Relationship with the Nominee: _______________________________________________ 3.3 Contact cell number:________________________________________________________ 3.4 Email Address:  ___________________________________________________________

4. Performance Nomination for January 2017 – December 2017. The nominating body shall fill in the verifiable performance information of the nominee  for the said qualifying period as per the provided performance nomination form of each category (this should be incorporated in the letterhead and or have a date stamp)

5. Sporting Organisation Detail & Stamp   5.1 Nominator Names ________________________________________________________ 5.2 Signature of the Nominator ________________________________________________ 5.3 Contact Number_________________________________________________________ 5.4 E-mail Address ___________________________________________________________

Performance Nomination Form for January 2017 – December 2017 – ADMINISTRATOR

NOMINEE
CATEGORY
ORGANISATION
POSITION
ELECTED OR COOPTED
PERFORMS TASKS AS EXPECTED
TASKS PERFORMED BEYOND CALL OF DUTY	1.
	2.
	3.
	4.
SPECIFIC PROJECTS PIONEERED WITHIN THE NF/ ORGANISATION	1.
	2.
	3.
	4.
OTHER COMMITTEES ONE IS A MEMBER OF EVEN BEYOND HIS/HER NF	1. Committee Name:
	Portfolio:
	2.Committee Name:
	Portfolio:
	3.Committee Name:
	Portfolio:
	4.Committee Name:
	Portfolio:

Performance Nomination Form for January 2017 – December 2017 – SPORTS SCHOOL

NOMINEE
CATEGORY
ORGANISATION
NATIONAL FEDERATIONS MEMBER	1.
	2.
	3.
	4.
	5.
	6.
	7.
REGIONAL / ZONAL REPRESENTATIVE IN NATIONAL GAMES	Event 1
	Event Name:
	Place:
	Date:
	Performance:
	Event 2
	Event Name:
	Place:
	Date:
	Performance:
	Event 3
	Event Name:
	Place:
	Date:
	Performance:
BASIC SPORT FACILITIES OWNED BY THE SCHOOL	1.
	2.
	3.
	4.
ORGANISATIONS WITH WHOM A SCHOOL PARTNERS WITH REGARDING USE OF SPORT FACILITIES	1. Organisation
	Facilities used
	2. Organisation
	Facilities used
	3. Organisation
	Facilities Used
EXTRA SUPPORT SHOWN BY A SCHOOL IN SPORT DEVELOPMENT
	1.
	2.
	3.

Performance Nomination Form for January 2017 – December 2017 – VOLUNTEER

NOMINEE
CATEGORY
ORGANISATION
EVENTS ORGANISED / COACHED / OFFICIATED / SPONSORED / PIONEERED	1.    National Level
	1.1  Event Name
	Date:
	Event Objectives
	Achievements
	Organised Coached              Officiated                     Sponsored                                   Pioneered
	1.2  Event Name
	Date:
	Event Objectives
	Achievements
	Organised           Coached              Officiated                           Sponsored                       Pioneered
	2. District Level
	2. 1 Event Name
	Date:
	Objectives
	Achievements
	Organised             Coached       Officiated                      Sponsored                   Pioneered
	2.2  Event Name
	Date:
	Objectives
	Achievements
	Organised               Coached     Officiated                        Sponsored                  Pioneered
	3.      Village  Level
	3.1  Event Name
	·         Date:
	·         Objectives
	·         Achievements
	3.2  Event Name:
	·         Place:
	·         Date:
	·         Objectives
	·         Achievements
	Organised             Coached         Officiated                           Sponsored                            Pioneered
	3.3  Event Name:
	·         Place:
	·         Date:
	·         Objectives
	·         Achievements
	Organised                 Coached                        Officiated                         Sponsored                     Pioneered

Performance Nomination Form for January 2017 – December 2017- Individual or Team

NOMINEE
CATEGORY
ORGANISATION
PARA/OLYMPICS	Place:
	Date:
	Qualification:
	Athletes/Coach Name:
COMMONWEALTH GAMES
	Place:
	Date:
	Qualification:
	Athletes/Coach Name:
WORLD CHAMPS	Event 1
	Place:
	Date:
	Qualification:
	Athletes/Coach Name:
CONTINENTAL CHAMPS	Event 1
	Event Name:
	Place:
	Date:
	Qualification:
	Athletes/Coach Name:
	Event 2
	Event Name:
	Place:
	Date:
	Qualification:
	Athletes/Coach Name:
	Event 3
	Event Name:
	Place:
	Date:
	Qualification:
	Athletes/Coach Name:
REGIONAL GAMES	Event 1
	Event Name:
	Place:
	Date:
	Qualification:
	Athletes/Coach Name:
	Event 2
	Event Name:
	Place:
	Date:
	Qualification:
	Athletes/Coach Name:
	Event 3
	Event Name:
	Place:
	Date:
	Qualification:
	Athletes/Coach Name:
NATIONAL CHAMPS	Event 1
	Event Name:
	Place:
	Date:
	Qualification:
	Athletes/Coach Name:
	Event 2
	Event Name:
	Place:
	Date:
	Qualification:
	Athletes/Coach Name:
ADDITIONAL AWARD
NB: FOR COACHES
HIGHEST COACHING QUALIFICATION

Performance Nomination Form for January 2017 – December 2017 – Coach 

NOMINEE
CATEGORY
ORGANISATION
PARA/OLYMPICS	Place:
	Date:
	Athletes Names and Highest  performance level
COMMONWEALTH GAMES	Place:
	Date:
	Athletes Names and Highest  performance level
WORLD CHAMPS	Event Name:
	Place:
	Date:
	Athletes Names and Highest  performance level
CONTINENTAL CHAMPS	Event 1
	Event Name:
	Place:
	Date:
	Athletes Names and Highest  performance level
	Event 2
	Event Name:
	Place:
	Date:
	Qualification:
	Athletes Names and Highest  performance level
	Event 3
	Event Name:
	Place:
	Date:
	Athletes Names and Highest  performance level
REGIONAL GAMES	Event 1
	Event Name:
	Place:
	Date:
	Qualification:
	Athletes Names and Highest  performance level
	Event 2
	Event Name:
	Place:
	Date:
	Athletes Names and Highest  performance level
	Event 3
	Event Name:
	Place:
	Date:
	Qualification:
	Athletes Names and Highest  performance level
NATIONAL CHAMPS	Event 1
	Event Name:
	Place:
	Date:
	Athletes Names and Highest  performance level
	Event 2
	Event Name:
	Place:
	Date:
	Athletes Names and Highest  performance level
ADDITIONAL AWARD
HIGHEST COACHING QUALIFICATION

Performance Nomination Form for January 2017 – December 2017 – REFEREES / UMPIRES

NOMINEE
CATEGORY
ORGANISATION
PARA/OLYMPICS	Place:
	Date:
	Final Officiating level
COMMONWEALTH GAMES	Place:
	Date:
	Final Officiating level
WORLD CHAMPS	Event Name:
	Place:
	Date:
	Final Officiating level
CONTINENTAL CHAMPS	Event 1
	Event Name:
	Place:
	Date:
	Final Officiating level:
	Event 2
	Event Name:
	Place:
	Date:
	Qualification:
	Final Officiating level:
	Event 3
	Event Name:
	Place:
	Date:
	Final Officiating level:
REGIONAL GAMES	Event 1
	Event Name:
	Place:
	Date:
	Qualification:
	Final Officiating level:
	Event 2
	Event Name:
	Place:
	Date:
	Final Officiating level:
	Event 3
	Event Name:
	Place:
	Date:
	Qualification:
	Final Officiating level:
NATIONAL CHAMPS	Event 1
	Event Name:
	Place:
	Date:
	Final Officiating level:
	Event 2
	Event Name:
	Place:
	Date:
	Final Officiating level:
ADDITIONAL AWARD
HIGHEST REFEREEING / UMPIRING QUALIFICATION