Nomination Form

East Syracuse Minoa High School
Athletic Hall of Fame

Candidate Recommendation Form

Nominee's Name: ________________________________________________________________

Nominee's Address: ______________________________________________________________

Nominee's Phone # (Home): _____________________________

                                  (Work): _____________________________

                                  (Other): _____________________________

Category (Check one)

_____    Athlete – Graduation year:     _____________________________

_____    Coach – Retirement date:       _____________________________

_____    Other – Specify:                       _____________________________

Year of accomplishment:  ________________

Your Name: ___________________________________________________________________

Your Address: Street: ___________________________________________________________

City: _____________________________________________ State: _____ Zip: _____________

Your Phone # (Home): _________________________

                        (Work): _________________________

                          (Cell): _________________________

Your relationship to nominee:  ___________________________________________________

_______________________________________________________________________________

Attach a typed description of the nominee's accomplishments as an undergraduate at East Syracuse Minoa. Their college accomplishments, work and community-related accomplishments will not be considered in the selection process but is needed for a biography. Also include family information (spouse's name, children with ages, etc.).

Date submitted: _________________________________

Signature: ___________________________________________

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