WILMINGTON HIGH SCHOOL

SPORTS HALL OF FAME

NOMINATION FORM

I.  PURPOSE

The Wilmington High School Sports Hall of Fame is intended to preserve the tradition of athletics. The Hall of Fame seeks to highlight the past in order to insure a promising future for Wilmington High School Athletics. The recognition of past athletes, coaches, administrators, or volunteers and their significant contributions will serve to provide models for future generations.

II.  SELECTION CRITERIA

The Selection Committee will choose inductees based upon the following criteria:

·  Contributions to the sports programs to Wilmington High School.

·  A person of high character with the ability to serve as an appropriate role model for current Wilmington Students.

·  Athletes must have graduated from Wilmington High School at least ten years prior to the nomination.

·  Coaches, administrators, volunteers will not be subject to the five year waiting period.

·  Nomination form should be received no later than March 1st of the year in which induction is requested.

III.  NOMINEE INFORMATION

NAME______

LAST FIRST MIDDLE NICKNAME

ADDRESS______

STREET CITY STATE ZIP CODE

DATE OF BIRTH______PHONE______

HOME WORK

IS NOMINEE A WILMINGTON H.S. GRADUATE?______

IF YES, YEAR OF GRADUATION______

(MUST HAVE GRADUTED AT LEAST 10 YEARS PRIOR TO NOMINATION)

IF NO, WHAT HIGH SCHOOL & YEAR______

NAME(S) OF COLLEGE(S) ATTENDED______

YEAR GRADUATED______

ADDITIONAL DEGREES (MASTERS, DOCTORATE, ETC.)

NOMINATED FOR CONTRIBUTIONS TO SPORTS PROGRAM AS PLEASE CHECK

ALL WHICH APPLY ______ATHLETE

______COACH

______ADMINSTRATOR

______VOLUNTEER

REVISED 5.12.09

NOMINEE’S ATHLETIC/ COACHING/ SUPPORTING ACHIEVEMENTS

SPORT ACHIEVEMENT SCHOOL/TEAM NAME DATE

NOMINEE’S CIVIC/ CHARITABLE ACTIVTIES

PLEASE LIST CHURCH, CIVIC, OR CHARITABLE ACTIVITES INDICATIVE OF EXEMPLARY CITIZENSHIP.

1.______6.______

2.______7. ______

3. ______8.______

4.______9.______

5.______10.______

IV.  STATEMENT

PLEASE DESCRIBE IN 250 WORDS OR LESS THE CONTRIBUTIONS THIS NOMINEE HAS MADE TO THE DEVELOPEMNT AND/OR PROMOTION OF A HIGH-QUALITY HIGH SCHOOL ATHLETIC PROGRAM. INCLUDE INFORMATION THAT ADDRESSES THE HIGH CHARACTER OF THE NOMINEE. PLEASE ATTACH ANY SUPPORTING DOCUMENTATION YOU CAN PROVIDE (NEWSPAPER ARTICLES, STATEMENTS OF RECOMMENDATION, AWARDS, ETC.) (STATEMENTS MAY BE PUT ON BACK OR ON A SEPARATE PASE.) (PLEASE USE WORD PROCESSOR, TYPE, OR PRINT)

V.  SPONSOR INFORMATION (PERSON MAKING NOMINATION)

NAME______

LAST FIRST MIDDLE NICKNAME

ADDRESS______

STREET CITY STATE ZIP CODE

PHONE______

HOME WORK

SIGNATURE______DATE______

PLEASE RETURN THIS NOMINATION FORM NO LATER THAN MARCH 1 OF YEAR IN WHICH YOU WISH THE CANDIATE TO BE CONSIDERED FOR INDUCTION TO:

ATHLETIC DEPARTMENT

WILMINGTON HIGH SCHOOL

OFFICE USE ONLY
DATE APP. RECEIVED______

300 RICHARDSON PLACE
WILMINGTON, OHIO 45177
PHONE-937-382-7716
FAX-937-382-1139