Sports Wall of Fame Online Nomination Form

Nomination Category

Individual Player
Team
Builder
Sponsor

Name of Nominee *

First

Last

Nickname (if any)

First

Last

of etc. other

Place of Birth *

Address of Nominee *

Address Line 1

Address Line 2

City

Province

Code Postal

Phone *

I have permission from the nominee or a family member *

Yes

If deceased, when?

Dates of residency in Nova Scotia *

Spouse's Name

First

Last

Children's Names and Ages

Schools Attended (elementary, high school, post secondary) *

Occupation *

Competitive sports in which nominee was involved (including dates) *

Summary of outstanding performances in Sport in Port Hawkesbury. Specify level of competition, placement/standings and number of times the nominee competed in each competition. *

Personal attributes related to sport, ie. skill, ability, sportsmanship, consistency, character. Please be as detailed as possible and include any personal commitment/contribution to sport in the community. *

SPECIAL awards won (include dates and related information), i.e. medals, athlete of the year, all-star, national/international competitions, etc. Please include any admission to other halls of fame; post participation recognition. *

Other information considered pertinent to the nomination. *

Name of person or group making nomination *

First

Last

Address *

Address Line 1

Address Line 2

City

Province

Code Postal

Phone

Email *

Please attach photos of the nomiee *

Drag & Drop Files, Choose Files to Upload

Please attach news clippings referring specifically to the nominee

Drag & Drop Files, Choose Files to Upload

Please attach a letter in support of your nomination from a sport governing body, teammates/peers *

Drag & Drop Files, Choose Files to Upload

Final Nomination Checklist (must select all) *

Outstanding achievement/contribution to sport in Port Hawkesbury
Registration form is complete and all supporting documentation is received by the published deadlines
Consent from the nominee or family member
Application includes photos suitable for interpretation by an artist
Application includes copies of articles referring to the achievements of the candidate
Career has concluded for a minimum of 5 years OR oustanding preeminence and skill, OR over age 50
Dates are included for all significant achievements
Information is accurate and supports the nomination as either a player, team, builder or sponsor
Team applications refer to team accomplishments with supporting documentation