Candidate information - Étape 1 de 10Select the nature of the application:International athleteNational athlete GreetingsMr.Mrs.MissLast name First name Date of birth AddressCityZip code AreaCollines-de-l'OutaouaisGatineauPapineauPontiacVallée-de-la-GatineauE-mail address Phone number Gender of the candidateFemaleMaleNextLast name First name E-mail address Relationship with the candidatePhone number PreviousNextSpecify the sport practiced :Specify the year when the candidate started practicing this sport:Is the candidate a member of the national team?YesNoIs the candidate a member of the Quebec team?YesNoAt which level the candidate is acknowledged by his/her sport federation?Sport-étudesEspoirRelèveÉliteExcellencePreviousNextComplete in order from most to least significant of the year.First eventName of event Date of eventLocation of event Competition level InternationalNationalProvincialRegionalRankingNumber of competitors Why is this performance the most significant one of the year?Second eventName of event Date of eventLocation of event Competition level InternationalNationalProvincialRegionalRankingNumber of competitors Why is this performance the second most significant one of the year?Third eventName of event Date of eventLocation of event Competition level InternationalNationalProvincialRegionalRankingNumber of competitors Why is this performance the third most significant one of the year?Other performancesDescribe the most notable details of the other performances. PreviousNextDescribe the improvement in the candidate’s performances from last year.PreviousNextHas the candidate's performances earned him/her any awards? Specify.Has the candidate’s performances earned him/her any media coverage? Specify.Did the candidate's performances had an impact on the sport being played? Specify.Is the candidate involved in different causes? Specify.PreviousNextExplain why the athlete 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 athlete(Photo of the athlete in action)PrécédentSuivantIf the candidate receives one of the grants, I will forward their social insurance number within two weeks of the presentation of the 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 acceptPreviousWebsiteSubmit the application