Name *
Home Address
Business Address
City
State
Zip Code
Business Organization
Home Organization
E-Mail *
E-mail *
Honor
Pioneer
Legislator
Supervisor
Outstanding Coach for Female Athletes
**Dance Professional of the Year
*Recreational Professional of the Year
*Adapted Physical Educator
*Elementary Physical Educator (K-5)
*Middle School Physical Educator (6-8)
*Secondary Physical Educator (9-12)
*Secondary Health Educator (9-12)
*College/University Physical Educator
*College/University Health Educator
* Awards also presented at District/National convention.
**Southern District and NDA recognize only a Dance Educator of the Year award.
Fill out this form to Chair of Awards Committee by June 1st. Forms for Student awards are sent directly to Colleges and Universities in October. CRITERIA FOR CANDIDACY: With the exception of Legislator of the Year and the Presidential Award all candidates must be current members of VAHPERD. Videotapes should not be submitted. Any VAHPERD member may submit nominations
Candidate must be a state or national Senator, Delegate or Representative who has made a major contribution to Health, Physical Education, Recreation or Dance. No application form is necessary.
1 + 7 = ?Please prove that you are human by solving the equation *
Contact: Mike Maina Title: Executive Director Email: info@virginiaahperd.org Phone: 804 252 5468