Glenbrook North High School Athletic Hall of Fame ...
Glenbrook North High School Athletic Hall of Fame NOMINATION BALLOT Nominee: NAME: _____________________________________________
Class of: ________________
CURRENT ADDRESS: Street: _________________________________ City: ___________________ State: _________ Zip Code: ____________________ Phone: ( ________ ) - ________ - ___________ Email Address:
_____________________________________________
SPORT(S) PARTICIPATED IN OR ASSOCIATED WITH AND YEAR: ______________________________________________________________________________ HIGH SCHOOL HONORS EARNED (TEAM & INDIVIDUAL): ______________________________________________________________________________ COLLEGE HONORS EARNED (INDIVIDUAL): ______________________________________________________________________________ POST COLLEGE HONORS EARNED / EXPERIENCES: ______________________________________________________________________________ COMMUNITY SERVICE RELATIVE TO ATHLETICS: ______________________________________________________________________________
REASON FOR NOMINATION:
__________________________________________________________________ Nominator: NAME: _____________________________________________ CURRENT ADDRESS: Street: _________________________________ City: ___________________ State: _________ Zip Code: ____________________ Phone: ( ________ ) - ________ - ___________ Email Address:
_____________________________________________
SIGNATURE:
_____________________________________________
RETURN TO:
2
John Catalano Athletic Director Glenbrook North High School 2300 N. Shermer Road
Phone: 847-509-2601 Fax: 847-509-2602
Northbrook, IL. 60062
[email protected]
Class of: ________________
CURRENT ADDRESS: Street: _________________________________ City: ___________________ State: _________ Zip Code: ____________________ Phone: ( ________ ) - ________ - ___________ Email Address:
_____________________________________________
SPORT(S) PARTICIPATED IN OR ASSOCIATED WITH AND YEAR: ______________________________________________________________________________ HIGH SCHOOL HONORS EARNED (TEAM & INDIVIDUAL): ______________________________________________________________________________ COLLEGE HONORS EARNED (INDIVIDUAL): ______________________________________________________________________________ POST COLLEGE HONORS EARNED / EXPERIENCES: ______________________________________________________________________________ COMMUNITY SERVICE RELATIVE TO ATHLETICS: ______________________________________________________________________________
REASON FOR NOMINATION:
__________________________________________________________________ Nominator: NAME: _____________________________________________ CURRENT ADDRESS: Street: _________________________________ City: ___________________ State: _________ Zip Code: ____________________ Phone: ( ________ ) - ________ - ___________ Email Address:
_____________________________________________
SIGNATURE:
_____________________________________________
RETURN TO:
2
John Catalano Athletic Director Glenbrook North High School 2300 N. Shermer Road
Phone: 847-509-2601 Fax: 847-509-2602
Northbrook, IL. 60062
[email protected]
