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(s) Attended and Year Graduated:
d. Is nominee in good standing with the community? Yes or No (circle) e. What is the nominee’s current occupation?
II. Athletic Achievement/Performance HIGH SCHOOL List primary sport first, years lettered, and any honors earned.
List any other sports you participated in, years you earned a varsity letter, and honors earned.
List any championships earned (individual or team).
List any significant stats.
List any honors earned in academics.
List any extra-curricular activities involved in:
COLLEGE/UNIVERSITY 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?
List any honors earned in sports.
List any honors earned in academics and extra-curricular activities.
PROFESSIONAL i. Did you reach a professional level? Yes or No (circle) If so, list name of team, years participated, honors, etc.
III. Character What characteristics do you think qualifies this nominee to be considered for the Summerville High School Athletic Hall of Fame?
IV. Letters of Support (please attach)
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
29483 Please email any questions to AD Brion Rutherford at [email protected].
d. Is nominee in good standing with the community? Yes or No (circle) e. What is the nominee’s current occupation?
II. Athletic Achievement/Performance HIGH SCHOOL List primary sport first, years lettered, and any honors earned.
List any other sports you participated in, years you earned a varsity letter, and honors earned.
List any championships earned (individual or team).
List any significant stats.
List any honors earned in academics.
List any extra-curricular activities involved in:
COLLEGE/UNIVERSITY 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?
List any honors earned in sports.
List any honors earned in academics and extra-curricular activities.
PROFESSIONAL i. Did you reach a professional level? Yes or No (circle) If so, list name of team, years participated, honors, etc.
III. Character What characteristics do you think qualifies this nominee to be considered for the Summerville High School Athletic Hall of Fame?
IV. Letters of Support (please attach)
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
29483 Please email any questions to AD Brion Rutherford at [email protected].
