The John & Parthenia Izzard Award for Athleticism, Service & Achievement, In Loving Memory of John Izzard, Jr.
Undine Barge Club
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Submit Coach/Teacher Nominations by June 30, 2023.
Coach's or Teacher's 2023 Recommendation (not more than 2 per High School; 1 boy and/or 1 girl)
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, 2023 deadline. If you have questions call 610.994.0514.

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