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Individual Nomination Form

January 18, 2019

OFFICIAL NOMINATION FORM – February 1, 2019 Deadline

 

In order to be considered for induction into the Greater Utica Sports Hall of Fame, a person must have lived in the Greater Utica area and achieved or promoted excellence in athletics. 

 

NOMINEE’S NAME:                       _________________________________________________

 

Check the category that best describes the nominee:

 

_____           Pre-Modern Athlete

(High School, College, Amateur, or Professional Athlete pre-1960)

 

_____           Modern Athlete

(High School, College, Amateur, or Professional Athlete 1960-present)

 

_____           Coach or Manager

(High School, College, Amateur, or Professional)

 

_____           Sports Executive, Sports Official, or Sports Administrator

(High School, College, Amateur, or Professional)

 

_____           Outstanding Supporter/Promoter

(Media, Sponsor, etc.)

 

Please use the reverse side of this form to officially nominate someone you feel is worthy of consideration for induction into the Greater Utica Sports Hall of Fame.  This form must be fully completed in order for the nominee to be considered for induction.  Also, please do NOT include more than (1) ONE additional sheet with this form.  If there is more than (1) ONE sheet, the nominee will NOT be considered for induction.

 

Please mail the completed nomination to:

                                                                                    Greater Utica Sports Hall of Fame

                                                                        Re: Nominating Committee

                                                                        PO Box 4607

                                                                        Utica, New York 13504-4607


 

NAME OF NOMINEE:                   ___________________________________________________

 

ADDRESS OF NOMINEE:             ___________________________________________________

                                                            ___________________________________________________

 

PHONE NUMBER:                          __________________________

 

(If nominee is deceased, please indicate that on the address line)

 

SPORT(S):           _____________________________________________________________

 

SPECIFIC ACCOMPLISHMENTS:         (Include records, statistics, etc.)

You may attach one additional page only to supplement this section.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HONORS & AWARDS:          (Please list all MAJOR ones first)

 

 

 

 

 

 

 

 

 

 

Nominator Name:                             ___________________________________________________

 

Nominator Address:                         ___________________________________________________

 

                                                            ___________________________________________________

 

Nominator Phone Number:             ___________________________________________________