Hall Of Fame Nomination Form

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Lyndonville Tigers Athletic Hall of Fame Nomination Form

15 Questions

Please be sure to read the criteria for nomination before filling out the form. An easy-to-read version can be found here.

1) Name of Nominee:

2) Nominee Year(s) of Graduation/Employment:

3) Nominee Current Address:

4) Nominee Phone Number:

5) Nominee Email:

6) Nominated as:

*Be sure to read the criteria above before making your nomination.

Athlete

Team

Coach

Special Contributor

7) Please include the following information to the best of your ability, 1/3:

-Sports played/coached -Position/Level -Years/Number of Years -Win/Loss

8) Please fill in the following information to the best of your ability, 2/3:

Honors and Achievements (League, Section, State All-Star, Championships, Statistics, etc.):

9) Please fill in the following information to the best of your ability, 3/3:

Records Held (School, League, State, etc.):

10) For a Special Contributor/Supporter/Fan Nomination: (optional)

Please provide an explanation for the nomination including but not limited to; sports programs he/she supported, role within that program, contributions, positive recognition to Lyndonville Athletics, etc.

11) Non-Athletic Related Honors and Achievements: (optional)

12) Additional Information: (optional)

13) Nominated by:

14) Nominator's Address:

15) Nominator's Phone Number:

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Hall Of Fame Nomination Form

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Lyndonville Tigers Athletic Hall of Fame Nomination Form