Nomination Form

Use the form below to nominate a coach that personifies any one of the following U.S. Army Values to help student-participants reach their full potential:

Loyalty
Duty
Respect
Selfless Service
Honor
Integrity
Personal Courage

Your Information

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* 1. Your Name

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* 2. Your Email

Nominee Details

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* 3. Coach's First Name

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* 4. Coach's Last Name

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* 5. Coach's Email

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* 6. School

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* 7. Sports/Activities Coached

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* 8. In 150 words or less, tell us how this coach personifies any one of the U.S. Army Values (Loyalty, Duty, Respect, Selfless Service, Honor, Integrity, Personal Courage) to help student-participants reach their full potential

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* 9. Upload a Photo of Your Coach Nominee

By uploading this photo, I verify that the WIAA has permission to use the image for promotional purposes on the WIAA website, WIAA Live mobile app, and on social media. If this image was taken by a third party photographer, I verify that the photographer has given consent for the WIAA to use the image at its discretion for promotional purposes.

PDF, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 10. Is this Coach an Army veteran or a member of the Army Reserve?

Yes

Not Sure