Nominated as (select one):  Athlete      Coach      Significant Contributor

Please fill in the following information if this is a nomination for an Athlete
Varsity Sport, Position/Events, # of Years, Name of Coach (add more lines for multiple sports)

Please fill in the following information if this is a nomination for a Coach
Sport Coached, Level, # of Years, Won-Loss Record (add more lines for multiple sports)

Please fill in the following information if this nomination is for a significant contributor
Please provide an explanation for the nomination (i.e. Contributions made, etc.).

Additional Information for ALL Nominees
League Titles, Awards, Sectional Titles, Statistics, etc.


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Nominated by:
Address:
Phone Number(s):
Email Address:
Date:

Direct any questions about this form to:
Michael Murray, Athletic Director
Mt. Morris Central School
30 Bonadonna Avenue
Mt. Morris, NY 14510