Evelyn A. Williams Award of Excellence
APPLICATION

  • Please read the award description and rules before completing this form.  CLICK HERE for a PDF copy.
  • To be accepted, this form must be completed by the owner/handler of record for the dog listed.
  • Applications are due each year by August 25 to include titles/achievements earned during the previous club title year: July 1 through June 30.
  • If the award is not picked up during the National Specialty weekend, it will be mailed to the person completing the form.

Please Provide the Following Information and Submit.

Evelyn Williams Award of Excellence

NOTE: Items marked with an asterisk (*) are required.

Depending on the areas you check additional fields will be provided.

Contact Information

( )
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Address


If outside the US, choose 'OTHER' at the end of the list.
Information about Your Toller

Country & Registry in which Title/Achievement Awarded:

Examples: USA-AKC; Canada-CKC

Choose ALL that apply

TITLES

I have Titles that I wish to list.

If you answer 'yes,' additional fields will be provided.


Add another Title
Documentation Requirements
  • For titles awarded through the NSDTRC (USA) or the AKC, no additional documentation besides this form is required.
  • For titles awarded that are NOT a part of the NSDTRC (USA) title program or the AKC, please mail a copy of the title certificate. Note: If the title was obtained from a non-English speaking country, please enclose an explanation of the title and the requirements for obtaining such a title in English.
ACHIEVEMENTS

I have Achievements that I wish to list.

If you answer 'yes,' many additional fields will be provided.


Add another Achievement
Documentation Requirements
  • For achievements awarded through the NSDTRC (USA) or the AKC, no additional documentation besides this form is required.
  • For achievements awarded that are NOT in conjunction with a NSDTRC (USA) sponsored event, please provide the name of the event, location, date, Secretary, email address and phone number plus one of the items listed below for verification of the achievement:
    • Copy of a picture taken by the official show photographer that has a legible representation of the name and date of the event and the achievement, i.e. BIS, HIT, or
    • Copy of the Judging Program or catalog page(s) that list the total number of entries in an all-breed show or if a Specialty or Supported Entry, a copy of the breakdown of entries, or
    • Copy of the page from an official publication listing the achievement. Examples: Dogs in Canada, NAHRA News, Bloodlines, or
    • A written statement signed and dated by the Secretary of the event attesting to the achievement and that the attendant requirements were met.


Additional Information

Please provide the appropriate information below as it pertains to the venue in which you believe you have met the requirements for this award.  A check mark on any of the venues will provide additional fields.

Choose ALL that apply for additional fields to be completed

Conformation



Supported Entries Only



All Breed Shows Only



Obedience Trial
Must be 198 or higher


Must be 195 or higher


Must be 380 or higher


Obedience Invitational

Agility Invitational

Add Additional Results
Invitational Field Test/Field Trial

Certification & Signature

I certify that I am a member in good standing with full voting privileges in the Nova Scotia Duck Tolling Retriever Club (USA). I further certify that I was the owner/co-owner of said dog and handled the dog to the title and/or achievement for which I am making application.

*


Need assistance with this form?

  • NOTE: You will have the opportunity to review your answers and go back and make corrections prior to final submission.  Don't forget to hit the Confirm button after reviewing.  You will receive an email notification after final submission.
  • If you have multiple dogs to enter, use your BACK button to return to the form.  Once there do a REFRESH of the page and then enter the new information and submit.  You must do the REFRESH for the form to go through.
  • Incomplete forms will be deleted after 7 days.