IASC Charles Metcalf & INSTRUCTOR OF THE YEAR AWARD

Name______________________________  Phone No. ________________________________

Street Address _______________________________________________________________

City__________________________________

 

Member of ___________________________________ Snowmobile Club
Years a Snowmobile Instructor _____________            Years a Club Member ________________

 

Names of who he/she teaches with:
______________________________________________________________________________
______________________________________________________________________________

Activities he/she participates in at Club level, including offices held:
______________________________________________________________________________
______________________________________________________________________________

 

Activities he/she participates in outside snowmobiling:
______________________________________________________________________________
______________________________________________________________________________

 

Family Information (wife/husband, children, grandchildren, job, etc):
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

 

Additional comments, reasons why your nominee deserves this award, and a memorable snowmobile happening involving your nominee:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

 

Your Name, Address, Phone Number: _____________________________________________________

Club You Belong To: _______________________________________________________

Return by October 1, 2008 to:      Hank Armbrecht or Sue Giese, IASC-SEP Coordinator
                                                        email to: iasc_sep@mtco.com  

10/1/07