NORTON HIGH SCHOOL HALL OF FAME ATHLETIC

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NORTON HIGH SCHOOL HALL OF FAME ATHLETIC HALL OF FAME DISTINGUISHED HALL OF FAME NOMINATION FORM due by Oct. 1

(Please include as much information about the candidate as you can, including stats from high school or college and any awards / accomplishments in their life. Please include what the candidate has possibly accomplished career wise. You may also include reference letters and any information that can help the committee.)

Name of Nominee: ______________________________________________ Current Date: _______________________________________________ Phone Number: ____________________________________________ Cell Number: _____________________________________________________ Address: _______________________________________________________________ E-mail: _________________________________________________ City: ______________________________________________________ State: ____________________ Zip Code: ________________________________ Date of Graduation from Norton High School: _____________________________________ Current Age: ___________________________ Pick one: Distinguished Hall of Fame ___________________ Athletic Hall of Fame ___________________ Sports participated in (include the years lettered) and/or coached while at Norton High School:

Athletic Honors, Awards, Rewards, Stats while at Norton High School: (add attachments as necessary)

_________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ Other Activities and Honors at Norton High School: (add attachments as necessary)

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Indicate information about the nominee’s current or recent activities, interests, honors, etc. that support why this individual should be elected to the Hall of Fame: (Add attachments as necessary)

_________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ Summarize why this person should be elected to the Hall of Fame: (Add attachments as necessary)

_________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ Name of the Nominator: ______________________________________________________________ Date: __________________________________ Address of Nominator: _________________________________________________________________________________________________________ Please include city, state, and zip code Nominator phone # _________________________________________________ E-mail: __________________________________________________

Please return forms to: Norton High School Athletic Office/Hall of Fame One Panther Way Norton, OH 44203 You can also e-mail the completed form to Athletic Secretary, Marla Dakes at [email protected] Page 2