The FA's 50 Year Service Award - Nomination Form

This form should be used to nominate individuals for The Football Association's 50 Year Service Award. Qualifying criteria includes: - Completed 50 years service to the game (not necessarily continuous). - To include playing career but not school representation under 16. - Nomination document should include full details of the roles undertaken by the nominee including dates.

About You (Nominator)

Please complete this section about you, the nominator for the award.

Full Name (Nominator)*

E-mail Address (Nominator)*

Telephone Number (Nominator)*

Is the nominee aware of the nomination?

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About The Nominee

Please complete this section about the nominee for this award.

Full Name (Nominee)*

E-mail Address (Nominee)

Telephone Number (Nominee)

FAN Number (If known)

Evidence

Please use this section to upload a document detailing how the nominee meets the criteria for the award. Qualifying criteria includes: - Completed 50 years service to the game (not necessarily continuous). - To include playing career but not school representation under 16. - Nomination document should include full details of the roles undertaken by the nominee including dates.

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