Hightstown High School

Nomination Form

Name of nominee_________________________________________ Date Submitted_____________

Nominated as: __ coach __athlete __ contributor in other area (please specify)___________________

Address and phone number of nominee_________________________________________________

_________________________________________________________________________________

Name of person, address and phone number of person doing nominating:

_________________________________________________________________________________

_________________________________________________________________________________

Sport being nominated for:____________________________________Year graduated:___________

Coached by (if known):_______________________________________________________________

Varsity sports played by year:

Awards, records and/or recognitions received in the sport nominated -________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Team championships (if any)__________________________________________________________

College attended (if any)______________________________________________________________

Varsity sports (played in college)_______________________________________________________

Scholarships received (if any)__________________________________________________________

Attach any additional information you may have.___________________________________________