ATHLETIC HALL OF FAME NOMINATION FORM

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Athletic Hall

of

Fame Nomination Form

The Magnificat Athletic Hall of Fame was established in 2010 to celebrate the accomplishments of athletes and coaches who demonstrate the highest standards of sportsmanship, ethical conduct and moral character. Members of the Magnificat Athletic Hall of Fame exemplify the Magnificat mission “to learn, lead and serve in the spirit of Mary’s Magnificat.” Nominees will be judged on their significant contributions to athletic endeavors and acknowledged leadership in their chosen fields and within their communities. Coaches who are nominated must have a minimum of five years of service at Magnificat High School. They must be inactive as a coach for consideration. You are welcome to attach supporting documentation.

Check Category of Nomination:

______Athlete

_____ Coach

Nominee’s Name:______________________________________________________________



First

Nominee’s Current Address:

Maiden

Last

Graduation Year

(if deceased, please include information for the nominee’s family member)

Street:______________________________________________________________________________ City, State and Zip:____________________________________________________________________ Phone:____________________________________ Email:_____________________________________ Sport(s) at Magnificat:

Leadership Position(s):

Year(s):

___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ College/University Attended:

Degrees Earned :

Year(s):

___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Sport(s) in College: Leadership Position(s): Year: ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________

Media Awards: ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Community Involvement: ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Supporting Information for Athletes and Coaches: ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Return this form and any supporting information to: Mr. Paul Barlow, Athletic Director at [email protected] or Magnificat High School, 20770 Hilliard Blvd., Rocky River, OH 44116 Nomination Deadline is November 1, 2016 Contact Information for Person Submitting this Nomination Form: Name:__________________________________________________________________________________________________ Address:_________________________________________________________________________________________________ City, State Zip:___________________________________________________________________________________________ Phone:____________________________________________ Email:_________________________________________________ Signature:_______________________________________________________________________________________________