(Submit this nomination form no later than August 15th.)

Nomination

Form

USATF National Officials Committee

Lori Maynard AwardThe Lori Maynard Award is presented annually to an official who best

exemplifies the qualities of Lori Maynard; the qualities of a truly dedicated race walk official, organizer, and administrator.

Horace Crow Nominee: Nominee’s Association:

Nominated by: and Email: Nomination Second by: and Email: Nominee Approves Summary Information: Yes □ No □ Certification No.: Date First Certified:

Please type below why the nominee should be considered for the Lori Maynard Award. Please include appropriate resume to justify this nomination.