Information on the application - Étape 1 de 11GreetingsMr.Mrs.MissLast name First name Date of birth AddressCityZip code AreaCollines-de-l'OutaouaisGatineauPapineauPontiacVallée-de-la-GatineauE-mail address Phone number Gender of the candidate FemaleMaleNextLast name First name E-mail address Relationship with the candidate Phone number PreviousNextSpecify the sport practiced:Specify the year in which the candidate began to practice this sport:Is the applicant a member of the national team?YesNoIs the applicant a member of the Québec team?YesNoAt which level the applicant is acknowledged by his/her sport federation?Sport-étudesEspoirRelèveÉliteExcellencePreviousNextComplete in order of most to least significant of the year, if applicable.First eventName of the eventDate of the eventLocation of the event Competition level InternationalNationalProvincialRegionalRankingNumber of competitors Why is this performance the most significant one of the year?Second eventName of the eventDate of the event Location of the eventCompetition level InternationalNationalProvincialRegionalRanking Number of competitors Why is this performance the second best one of the year?Third eventName of the event Date of the event Location of the event Competition level InternationalNationalProvincialRegionalRanking Number of competitorsWhy is this performance the third best one of the year?Other performancesDescribe the most notable details of the other performances.PreviousNextDescribe the improvement in the applicant's performance from last year.PreviousNextHas the applicant's performances earned him/her any awards? Specify.Has the applicant’s performances earned him/her any media coverage? Specify.Did the applicant's performances have an impact on the sport being played? Specify.Is the applicant involved in different causes? Specify.PreviousNextWhat are the candidate's accomplishments that stand out as innovative? (e.g., adapting their environment for training).How many hours of training per week did the candidate manage to invest despite some obstacles?In what way(s) has the candidate demonstrated resiliency over the past year?What actions has the candidate taken to enhance his/her overall development as an athlete?(e.g., sports medical and scientific services such as physical therapy, nutrition, personal training, etc.)PreviousNextExplain why the candidate deserves to receive this recognition this year: (maximum of 100 words)Other noteworthy facts:(maximum of 100 words)What is the next competition or event in which the candidate will participate?PreviousNextMaximum of two attachments: letter of support, press review, etc.Document #1Document #2Representative photo of the athletePreviousNextIf the applicant receives one of the grants, I will forward their social insurance number within two weeks of the presentation of Gala.Grant *I acceptPreviousNextI affirm that the information provided in this form is accurate, and I agree that it may be forwarded to the appropriate party to review the application. I will notify the applicant of their nomination and the date of the Gala Excellence sportive Outaouais.Déclaration *I acceptPreviousNameSubmit the application