Athletic Hall of Fame
Nominees for Consideration
Southwest Licking Local Schools
Athletic Director 740-927-3417 740-363-1349
8868
Nominee __________________________ Occupation_______________ Class of _________
Telephone # ____-____-_______ Name of Spouse ______________ # of Children _______
Name of Nominee’s Coach(es) __________________, _______________, _______________
Your
Name
_____________________ Date Nominated
___/____/____
Outline Reasons why you wish to nominate the above individual _______________________
___________________________________________________________________________
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___________________________________________________________________________
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List sports in which nomination participated
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Senior |
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Please Check any appropriate
boxes
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Frosh |
Soph |
Junior |
Senior |
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Squad member of any level (complete season) |
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First Varsity letter in sport |
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Second Varsity letter in a sport |
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Third Varsity letter in a sport |
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Fourth Varsity letter in a sport |
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Captain of a varsity team |
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Regional competition |
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District Competition |
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State competition |
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All League (First team) |
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MVP, MIP, Baron Award |
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Manager of a varsity team (not a competitor) |
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Statistician of a varsity team (not a competitor) |
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3.0 accum GPA at the end of each
school year |
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