ALBERTA GOLF HALL OF FAM E OFFICIAL NOMINATION FORM TO:
SPONSOR OF NOMINEE
FROM: ALBERTA GOLF HALL OF FAME COMMITTEE Please complete all sections of the Nomination Form as thoroughly as possible. To be considered, all nominations to the Alberta Golf Hall of Fame must meet the following criteria: 1. Be an adult, male or female, of any race, color or creed, not necessarily living at the time of consideration; 2. Be, at least, 55 years of age at the time of consideration; 3. Be a resident of the territory served by Alberta Golf during the period of accomplishments; 4. Be an amateur golfer during the period of accomplishments; 5. Be a person who has brought recognition to Alberta primarily through a) excellence in golf championship play at the international, national, regional, and/or provincial level; and/or b) outstanding contributions of time and effort in the advancement of golf, all with exemplary conduct. Members may be persons either living or deceased who are or have at some time been Alberta citizens. Exceptionally, non-Canadian Citizens may be elected, provided that the number of nonCanadian members shall never exceed one (1) in ten (10). SPONSOR INFORMATION SPONSOR'S NAME: ADDRESS:
DATE SUBMITTED:________________ PHONE NO.:_____________________
CITY:_____________________________________POSTAL CODE: _________ _________ SPONSOR'S HOME CLUB: ____________________________________________________ SPONSOR'S RELATION TO NOMINEE:___________________________________________ ____________________________________________________________________________ SPONSOR'S YEARS OF ACQUAINTANCE WITH NOMINEE: _________________________ ____________________________________________________________________________ SPONSOR'S GENERAL COMMENTS AND/OR RECOMMENDATIONS: _________________ ____________________________________________________________________________ ____________________________________________________________________________
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NOMINEE'S INFORMATION NOMINEE'S NAME: __________________________________________________________ 1. Is the nominee deceased or living?
__ Deceased __ Living
If deceased, provide name and address of closest relative or someone who would have knowledge of nominee’s achievements: NAME:__________________________________ PHONE NO.:_____________________ ADDRESS:_______________________________________________________________ CITY:__________________________________
POSTAL CODE: _________ _________
If living, provide address and phone number of nominee: ADDRESS:________________________________PHONE NO.:______________ CITY:____________________________________ POSTAL CODE: _________ _________ 2. NOMINEE'S BIRTHDATE:___________________ PLACE OF BIRTH:______________ 3. NOMINEE'S GENDER:
_
MALE _
FEMALE
4. NOMINEE'S HOME CLUB:____________________________________________ 5. WAS THE NOMINEE AN AMATEUR DURING TIME OF ACHIEVEMENT? YES
NO
6. How has the nominee brought recognition to Alberta through excellence in golf championship play? List golfing achievements, including event names, locations, dates, and position of finish (first, second, etc.): _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
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7. How has the nominee brought recognition to Alberta through outstanding contributions of time and effort? List achievements, including offices and positions held, location of achievements, and dates. ________________________________________________________________________ _______________________________________________________________________ _________________________________________________________________________ 8. How has the nominee demonstrated exemplary conduct? Cite specific examples. ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 9. Why should the nominee be selected for induction into the Alberta Golf Hall of Fame? _______________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Please attach additional documentation as needed including newspaper clippings, letters of reference and photographs. All documentation and photographs will be returned upon request. Return this Nomination Form to the Alberta Golf Office at the following address: ALBERTA GOLF ATTN: Hall of Fam e Com m ittee #22, 11410 27 Street SE Calgary, Alberta T2Z 3R6 e-m ail: m
[email protected] 3