Nomination Form

The Great Lakes Zone

Outstanding Swimmer

“Atkinson Scholarship Award”
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This Award was established in 1991 by the Great Lakes Zone Swimming Committee to honor Paul Atkinson for his dedicated leadership in establishing this YMCA competitive aquatic program. During his career with the Young Men’s Christian Association of 35 years he devo= ted over 30 of those years developing and promoting our Great Lakes Zone Championship, as we know it today. The intent of this awa= rd is to recognize a talented male and female from our Zone who has represented t= heir YMCA with distinction. These individuals have been outstanding competitive swimmers and contributors to their YMCA, as well as being good students, active in the church and community, and all-around good citizens. These awards are presented each year at the Z= one Championship Meet based on the nominations submitted by a YMCA Swim Coach, YMCA Aquatic Director, President of a YMCA Parents’ Club or a YMCA Executive Director. Nomination Forms along with proper documentation is to be sent to Bill Whatley and received by February 15, 2012. After that date the selection committee will meet, review all nominations, and ma= ke their choice(s) for 2012

Continuing Education Scholarship

In 2002, the Great Lakes Zone Swim Committee added to= this award a “Continuing Educa= tion Scholarship” stipend of $= 750.00 for each recipient. This scholarship money will be sent to the scho= ol (trade school, 2 year college<= st1:PersonName w:st=3D"on">, college or university) of their choice and m= ay be used for tuition fees, room and board (only if living on campus), or books and supplies. This is a one-time grant and cannot be renewed. Guideli= nes for disbursement of these Scholarship Funds will be out-lined in a letter to each recipient at the 2012 Zone Championship meet.

PAST WINNERS:

YEAR: MALE: &= nbsp; &nbs= p; &= nbsp; &nbs= p; &= nbsp; &= nbsp; FEMALE:<= /p>

1991 = ; Jim Breen &n= bsp; = ; Beavercreek Y = ; Sara Henninger = &nb= sp; Beavercreek Y

1992 = ; Bryan Banzinger = M= arietta Y = &nb= sp; Jennifer Crisman &n= bsp; Grand Rapids SE Y

1993 &nbs= p; Brad Flikkema &= nbsp; &nbs= p; Grand Rapids SE Y &n= bsp; Marnie Breen &nb= sp; = Beavercreek Y

1994 = ; Jason Turner &= nbsp; &nbs= p; Miami Co. Y &n= bsp; = ; Elizabeth Anne Moore Van Wert Y

1995 = ; Jeff Bell &nb= sp; = Springfield Y = &nb= sp; Rachel Burrowbridge&nb= sp; Louisville Y

1996 = ; Quinten Cupps &nb= sp; = Hamilton West Y &= nbsp; Mariah Butler &= nbsp; Marietta Y

1997 = ; Brandon Mottice &n= bsp; Lou= isville Y = &nb= sp; Jill Crates &= nbsp; &nbs= p; Lima Y

1998 = ; Drew Fiden &nbs= p; &= nbsp; Kettering Y = ; &n= bsp; Noelle Bailey &= nbsp; &nbs= p; Kettering Y

1999 = ; Ben Douglas = &nb= sp; Marietta Y = &nb= sp; No Female this year.

2000 = ; Joshua Kline &n= bsp; = ; Mt Vernon Y = ; &n= bsp; Meredith Lynn Snook Saginaw Y

2001 = ; Michael Gustafson &nbs= p; Grand Rapids SE Y &n= bsp; Kelly Jones (Kett. Y) &= nbsp; So. Community Y<= /p>

2002 = Steven Helmuth &n= bsp; = ; Louisville Y = &nb= sp; Shannon Bauer = Birmingham Y

2003 = ; Joshua Stephens = ; Hamilton West Y &= nbsp; Kyndra Huff &nbs= p; &= nbsp; Hamilton West Y<= /p>

2004 Derek Johnston = Macomb Y. &nb= sp; = Kahla Gress &= nbsp; &nbs= p; Harrison County Y

2005 Jacob Busch &= nbsp; S. Toledo Y &nbs= p; &= nbsp; Jackie Nagle &n= bsp; = ; Jerry L. Garv= er Y

2006 Marcus Geer = = Springfield Y = &nb= sp; Kayla Faudree = Alliance YMCA

2007 = ; no nominations &n= bsp; = ; &n= bsp; = ; &n= bsp; = ; <= /o:p>

2008 Jeffery Shade = Flint Y = &nb= sp; = Ashley Emerson = Youngstown Y

2009 Matthew Wilmot = Geauga Y = &nb= sp; Evann Heidersbach Vermilion Y

2010 Ian Richardson <= /span> &n= bsp; = ; Mt. Vern= on Y = Calley Murphy = Birmingham Y&= nbsp; &nbs= p; &= nbsp;

2011 Mack Biggert = Macomb Y= = &nb= sp; Chloe Meyer = Blue Ash Y = <= /span> =

&= nbsp;

Page 1 of 3 Pages=

= &nb= sp; = Nomination Form

= &nb= sp; The Great Lakes Zone

= = &nb= sp; Paul A. Atkinson

= &nb= sp; YMCA Outstanding Swimmer Award

Each YMCA participating in the Great Lakes Swimming Championship is entitled and encouraged to send in nominations to receive "The Great Lakes YMCA Outstanding Swimmer Award." This form along with the summa= ry of the individual's accomplishments and letters of recommendation must be sent= to Bill Whatley, 5000 YMCA Dr= ive, Cincinnati, Ohio 45242-7498 (or) e-mail to Bwhatley@cincinnat= iymca.org

All materials mus= t be received by February 15, 2012

= ;

Please--Type or Print the information on this f= orm:

Candidates

Name: (Last)____________________(First)______= _________Age: ____Sex: (M) ___(F)___

&= nbsp; &nbs= p; &= nbsp; &nbs= p;

Address: _____________________________________

City: ______________________________ Email &= shy;_= _________________________________

State: ________ Z= ip:______________ = Phone: (________)__________________

YMCA Name: ________________________________________________________<= /p>

YMCA Address: _________________________________________________

Zip: ____________ Phone: (______)____________________

School Name: _________________________________________________________

Church Name: _________________________________________________________=

Local Newspaper N= ame and Address: _______________________________________

_________________= _______________________________________________

Nominated By: ____________________________ Relationship: ____________________<= /span>

YMCA Executive's = Name: ___________________ Signature: ________________________

Date: ________________

Coach's Name: ___________________________Signature: ___________________________

Date: ________________ E-Mail Address: _____________________________________

Home phone number: (________) ____________________________

Age when individu= al started competitive swimming: <= /span> _________

Number of years on your YMCA Swimming Team: = _________

Number of years participated in G L Zone Championship:&nbs= p; _________

= ;

Page 3 of 3 pages

Great Lakes Zone YMCA Outstanding Swimmer Award

Page 2. of 3.

Items to be inclu= ded in the Candidate's recommendation summary:= YMCA Involvement: (swim team, leader's club, volunteer, instructor, lifeguard, etc.). Church Involvement, School Involvemen= t, Community Service, etc.

Nominator: Attach a letter= of recommendation covering the following by items: YMCA Executive, Physical Director, Aquatic Director, Swim Coach, Pastor, Principal, Teachers, Commun= ity Leader, or Swim Team Parents Club Officer. Also attach any copies of newspa= per clippings you may have on this individual.

I. Comments on the personal qua= lities of this candidate such as leadership, etc.

II. Indicate how this person has exemplified the YMCA purpose and values in daily life such

as responsibility, dependability etc.

III. Why do you t= hink this person should be considered for this award?

IV. School, Club Activities, and / or Organizations, which this person has been a member.

V. Church Involvement and Community Activities.

Also attach any o= ther letters of recommendations supporting this candidate’s nomination from YMCA Executive, Physical or Aquatic Director, Swim Coach, Clergy, School Principal, Teacher or School Advisor, Community Leader, and or Swim Team Cl= ub Officer, etc. Also you may attach any copies of newspaper articles you may = have concerning this candidate.

Please use additi= onal pages if needed to describe this candidate’s qualities, values and interests.