Summerville High School Athletic Hall of Fame Nomination Form
Summerville High School Athletic Hall of Fame Nomination Form Date Submitted: _________________
I.
Biographical Information a. Nominee’s Name _________________________________________________________ Present Address __________________________________________________________ City ___________________________State _______________________Zip ___________ Telephone: Home _________________________
Work _____________________
Email Address: ___________________________________________________________ b. Year graduated from Summerville High School: ____________ c. Name of College _____________________________________ d. Graduated: Yes or No (circle)
Year graduated: _________________________
e. Is nominee in good standing with the community? Yes or No (circle) Has nominee ever been convicted of a felony? Yes or No (circle) II.
Athletic Achievement/Performance a. High School i. List primary sport first and years lettered: _________________________________________________________________ _________________________________________________________________ ii. List any other sports you lettered in and number of years: _________________________________________________________________ _________________________________________________________________
iii. Championships earned (individual or team): _________________________________________________________________ _________________________________________________________________ iv. Honors earned in sports: _________________________________________________________________ _________________________________________________________________ v. Significant stats: _________________________________________________________________ _________________________________________________________________ vi. Honors earned in academics: _________________________________________________________________ _________________________________________________________________ vii. Extra-curricular activities involved in: _________________________________________________________________ _________________________________________________________________
b. College: i. Did you earn a college scholarship in a sport? Yes or No (circle) If so, list the name of college attended, degree received, and year graduated: _________________________________________________________________ What sport did you receive a scholarship for? What sport(s) did you participate in college? _________________________________________________________________ _________________________________________________________________ ii. Honors earned in sports: _________________________________________________________________ _________________________________________________________________ iii. Honors earned in academics and extra-curricular activities: _________________________________________________________________ _________________________________________________________________
c. Professional: i. Did you reach a professional level? Yes or No (circle) If so, list name of team, years participated, honors, etc: _________________________________________________________________ _________________________________________________________________ III.
What characteristics do you think qualifies this nominee to be considered for the Summerville High School Athletic Hall of Fame? ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
IV.
Letters of Support (optional)- Please limit to no more than two
V.
Present Occupation ___________________________________________________________
VI.
Nominator: a. Date submitted: __________________________________________________________ b. Name of person submitting the form:_________________________________________ c. Signature: _______________________________________________________________ d. Address: ________________________________________________________________ City ______________________________________ State ____________ Zip __________ e. Phone Number: __________________________________________________________ f.
Email address: ____________________________________________________________
Deadline: Must be received prior to March 1st of any given year to receive consideration for that year. Return to:
Summerville High School Athletic Hall of Fame C/O Brion Rutherford, Athletic Director 1101 Boone Hill Road Summerville, SC 29483
Completed forms and/or questions can also be emailed to: [email protected]
I.
Biographical Information a. Nominee’s Name _________________________________________________________ Present Address __________________________________________________________ City ___________________________State _______________________Zip ___________ Telephone: Home _________________________
Work _____________________
Email Address: ___________________________________________________________ b. Year graduated from Summerville High School: ____________ c. Name of College _____________________________________ d. Graduated: Yes or No (circle)
Year graduated: _________________________
e. Is nominee in good standing with the community? Yes or No (circle) Has nominee ever been convicted of a felony? Yes or No (circle) II.
Athletic Achievement/Performance a. High School i. List primary sport first and years lettered: _________________________________________________________________ _________________________________________________________________ ii. List any other sports you lettered in and number of years: _________________________________________________________________ _________________________________________________________________
iii. Championships earned (individual or team): _________________________________________________________________ _________________________________________________________________ iv. Honors earned in sports: _________________________________________________________________ _________________________________________________________________ v. Significant stats: _________________________________________________________________ _________________________________________________________________ vi. Honors earned in academics: _________________________________________________________________ _________________________________________________________________ vii. Extra-curricular activities involved in: _________________________________________________________________ _________________________________________________________________
b. College: i. Did you earn a college scholarship in a sport? Yes or No (circle) If so, list the name of college attended, degree received, and year graduated: _________________________________________________________________ What sport did you receive a scholarship for? What sport(s) did you participate in college? _________________________________________________________________ _________________________________________________________________ ii. Honors earned in sports: _________________________________________________________________ _________________________________________________________________ iii. Honors earned in academics and extra-curricular activities: _________________________________________________________________ _________________________________________________________________
c. Professional: i. Did you reach a professional level? Yes or No (circle) If so, list name of team, years participated, honors, etc: _________________________________________________________________ _________________________________________________________________ III.
What characteristics do you think qualifies this nominee to be considered for the Summerville High School Athletic Hall of Fame? ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
IV.
Letters of Support (optional)- Please limit to no more than two
V.
Present Occupation ___________________________________________________________
VI.
Nominator: a. Date submitted: __________________________________________________________ b. Name of person submitting the form:_________________________________________ c. Signature: _______________________________________________________________ d. Address: ________________________________________________________________ City ______________________________________ State ____________ Zip __________ e. Phone Number: __________________________________________________________ f.
Email address: ____________________________________________________________
Deadline: Must be received prior to March 1st of any given year to receive consideration for that year. Return to:
Summerville High School Athletic Hall of Fame C/O Brion Rutherford, Athletic Director 1101 Boone Hill Road Summerville, SC 29483
Completed forms and/or questions can also be emailed to: [email protected]
