Ray Heslop Juvenile Dedication Award

The Championship Recognition Committee of the GTHL will make a recommendation of one candidate to the GTHL Board of Directors to be the recipient of the award. Privacy Statement: The information collected on this form will be used for the sole purpose of administering the GTHL Awards Program and the applicant understands that the winners’ names will be published in the GTHL handbook and on the GTHL website.

Personal Information
Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Date of Birth*
Hockey Involvement
Name of Current Organization*
Years Involved in GTHL Hockey*
Education Background
Current School*
School Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact at Current School*
First Last
Phone*
Position
Academic Achievements*
Personal Goals*
Athletic Interests in Addition to Hockey
Post Secondary Institution Applied To*
Area of Study*
Resume Upload*
Drop files here or

Accepted file types: jpg, doc, docx, pdf, mp4.
Applicants may submit their choice of a written or video resume.
Letter of Reference*
Drop files here or

Accepted file types: jpg, doc, docx, pdf, mp4.
Can be from a teacher, coach, volunteer supervisor, or work supervisor.
Name
This field is for validation purposes and should be left unchanged.

Ray Heslop Juvenile Dedication Award

Ray Heslop Juvenile Dedication Award

Personal Information

Hockey Involvement

Education Background