SCUGOG SPORTS HALL OF FAME

Nomination Form

Individual Athlete or Builder

IMPORTANT (please print or type)

1.   Please read the criteria on the reverse of this form.

2.   Articles, photographs, awards, etc., concerning your nominee that will outline his/her accomplishments and contributions must be attached to this application. It is the responsibility of the person submitting the nomination to supply all such materials and information.

3.   Nominations must be received no later than Friday April 24, 2015 in order to be considered for the 2015 Induction Ceremonies. Mail or deliver nominations to:

Scugog Sports Hall of Fame Committee

c/o Community Services Department

181 Perry Street PO Box 780

Port Perry, Ontario

L9L 1A7

PERSONAL INFORMATION OF NOMINEE

CATEGORY (please check) Athlete: ______Builder: ______

Nominees Name: (in Full) ______

Nickname: (if any) ______

Place of Birth: ______

Current Address: ______

Postal Code: ______Telephone: ______

Date(s) of Residency in Scugog or the Mississaugas of Scugog Island First Nation: ______

Where educated: Public School:______

High School:______

Univ./College:______

If the nominee is deceased, please complete the following:

Next of Kin: ______Relationship: ______

Address: ______

Postal Code: ______Telephone: ______

CAREER INFORMATION

1.  Sport(s) in which Nominee excelled:______

2.  In what year did the nominee retire from the sport: ______

3.  Briefly outline the level of competition and achievements of the nominee in chronological order (attach additional pages if required)

______

______

4.  Indicate medals, trophies, awards, etc. not included in the above that the nominee attained (attach additional pages if required)

______

5.  Provide information on the nominee’s leadership skills, character, sportsmanship and contributions to sport in the community. (attach additional pages if required)

______

PERSON SUBMITTING NOMINATION

Name ______

Address: ______

Postal Code: ______

Telephone: (H) ______(B) ______email: ______

*************************************************************************************************

** Please note: The information provided in this application must be completed accurately. The Committee may research any application, so please ensure all facts are correct. Also please attach to this nomination the following:

1.  Picture or pictures of Nominee (preferably 5”x7” glossy print)

2.  News clippings referring specifically to the Nominee

3.  Letter(s) in support of your nomination

4.  Any other items you may deem important in the assessment of this nomination

*************************************************************************************************

I hereby declare that to the best of my knowledge all of the above information is accurate and correct.

Date:______

Signature of Nominator:______

CRITERIA

1.  ELIGIBILITY to Scugog Sports Hall of Fame for ATHLETES and BUILDERS.

2.  The Nomination criteria must not necessarily be broad, however, substantive documented evidence should be available, plus views of his or her contemporaries, if possible.

3.  ATHLETES to be considered for admission to Scugog’s Sports Hall of Fame must have been (or be) outstanding in their field of endeavour and/or to have achieved better than average proficiency in a number of sports events if not reaching the absolute top level in any one. The label “outstanding” must be applicable over an extended period of time in competition against peer athletes. This involves those competing on a strictly local level and those going on to district, provincial and national events as well as those who enter professional sports. However, distinction should be made in the nomination papers as to the reason for the nomination. An athlete, who is prominent locally, over a period of time, should not be dismissed if he or she achieves top proficiency in a wider area, whether this is an amateur or a professional.

ATHLETES nominated to the Scugog Sports Hall of Fame must have been retired from active participation in the sport(s) for which he or she has been nominated, for a period of not less than three (3) years, dating from end of season of the sport(s) for which he or she has been nominated. The above restrictions do not apply in the case of any AUTOMATIC SELECTIONS as determined elsewhere in this Constitution.

4.  BUILDERS’ – including Officials (referees, umpires, etc.), Sponsors, Executives, Trainers, Coaches, etc. – whose work for sport over an extended period of time has been outstanding whether it be in organization of leagues and facilities; achieving a high degree of success in coaching teams and/or individuals, keeping a league or team active; providing services of a consistently high level over an extended period of time, etc. However, just because someone has worked many years for sports as a builder, it does not necessarily mean induction into the Scugog Sports Hall of Fame. His or Her work over that period of time must have been of a consistently high level with regard to services provided or results achieved.

BUILDERS’ nominations shall be eligible at any time. There shall be no waiting period in the category and the person may still be active in role(s) for which he or she is being nominated.

5.  TEAM NOMINATIONS shall be considered on the merits of each team as a whole and not solely on the individual players. A team to be recognized must have won a championship at the district, provincial, national or international level. This team would be recognized for attaining the highest level of accomplishment possible in that particular era.

6.  AUTOMATIC SELECTION shall be any Scugog ATHLETE who has won an Olympic medal or who finished first, second or third in any International Championship or who has won a Canadian Championship in a non-team discipline considered authentic by the Committee.

7.  DECEASED NOMINATIONS shall in each case to be reviewed as to whether the three (3) year delay regulation shall be invoked by the Committee and shall be evaluated on the merits of the person involved.

8.  HISTORICAL SPORTING VENUE – A sports venue used by teams and/or individual athletes.

SCUGOG ATHLETE or BUILDER

For purpose of the Scugog Sports Hall of Fame, a Scugog ATHLETE or BUILDER shall be:

a.  Anyone born in Scugog and who spent his or her formative years in Scugog.

b.  Anyone who was not born in Scugog, but who has resided in Scugog a minimum of five (5) years and proves his or her worth in the Scugog forum of athletics. Said ATHLETE or BUILDER may be considered even if he or she eventually moves away from Scugog.

c.  Anyone who was not born in Scugog, but who is or has resided in the Region of Durham and who has participated in the Scugog athletic forum and has distinguished themselves either at the local, amateur or professional level.

d.  Anyone in (a) or (b) or (c), after a local amateur career, moves into professional sports or university/college sports or amateur sports elsewhere and who is deemed worthy of inclusion by the Committee.