The John Izzard Award for Athleticism, Service & Achievement
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Coach's or Teacher's 2021 Recommendation (no more than 2 per High School; any gender)
Coach/Teacher: _______________________[Print]
High School: ______________________________________________

Coach/Teacher Email Address: _______________________________ 
Coach/Teacher Telephone #:________________

Athlete Name: ________________________________________ [Print]
Medals [what & when]:_______________________________________
__________________________________________________________
__________________________________________________________

Athlete Telephone#: _______________
Athlete Address: ___________________________________

School Address: ___________________________________________ 
School Telephone: _____________________
 

Part I: Please answer the following preferably in the space provided, and PRINT:
a) How many students submitted applications? ____
b) In a short phrase tell what made this student outstanding: __________________________________________________________________________
__________________________________________________________________________
________________________________________________________________________________________


Part II: Please answer the following questions, preferably in the space provided, and PRINT:
      a) In what sport(s), in addition to rowing, is this athlete involved and to what degree is he/she involved? ______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
___________________________________________________________
       b) How has this athlete exhibited service to others and how has he/she made a difference? _____________________________________
______________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________________________________________

Part III: Please rate this athlete by circling the appropriate number:
1.  Athleticism: takes into consideration the number of sports the athlete participates in, to what degree they participate, and for how long they have participated [1-5].

                            1             2             3             4            5

                         None                   Average              Exceptional

2.  Service: takes into consideration the activities/actions of the athlete that were of service to others in their community, and/or the world; the impact of those activities/actions; who 
benefited from their activities/actions; and the number of activities/actions.

                             1             2             3             4            5

                          None                   Average              Exceptional


3.  Achievement: takes into consideration ways the athlete uses what they learn academically, in their daily life.
                             1             2             3              4            5 
            
                         None                    Average               Exceptional

_____________________________           ______________      
Coach/Teacher Signature                          Date


NOTE: Submit all documentation by email to the John Izzard Jr. 
​Athleticism, Service & Achievement Award Committee, to Committee@JohnIzzardAward.com by the June 30, 2021 deadline. If you have questions call 610.994.0514.

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