Nova Scotia Sport Hall of Fame Athlete Nomination Form

Nova Scotia Sport Hall of Fame Athlete Nomination Form

DEFINITION:

ATHLETE - An individual who has competed in sport who has achievedexcellence at a provincial, national or international level.

ELIGIBILITY REQUIREMENTS:

• Any person who was born in Nova Scotia or resided in Nova Scotiaduring his/her accomplishments for a minimum of 4 years.

• An athlete shall be eligible for election after a period of three (3) years haselapsed from the date of when in the opinion of the selection committee the nominee has retired or has competed at the highest level of competition.

Please Note:

At any time during the process of putting together your nomination you have questions please contact:

Shane Mailman

Manager - Facility and Communications

(902)404-3339

NOVA SCOTIA SPORT HALL OF FAME ATHLETE NOMINATION

PLEASE READ CAREFULLY

Deadline for nomination submission is January 31st every year

Must be submitted on 8 ½ by 11 white paper in 12 point font.

Use of the nomination form is mandatory. Nominations received in

non-standard format will be returned for re-submission.

One page covering letter from the nominator is acceptable.

List of accomplishments should be in chronological order or order of greatest/most relevant accomplishments.

Up to four letters one page letters of support/reference will be accepted.These should be from people who were associated with the sporting career of the nominee.

Verification of accomplishments is required. These may include newspaper articles, media, awards, certificates, etc. They must fit on no more that four pages.

Nominations can be stapled but no binding, scrapbooks, or covers.

 Please submit copies not originals.

Nominations must be typed.

No DVD’s, VHS, Audio Tapes.

Please include one picture if available.

Note that only 12 pages maximum will be forwarded to the Selection Panel and Committee.

ATHLETENOMINATION FORM

Nominee

NOMINATED FOR PARTICIPATING
IN THE FOLLOWING SPORT(S)
Full Name:
Last / First / Initial / Nickname
Address: / Apartment/Unit #
Prov / Postal Code
Home Phone: / () / Work
Phone: / ()
Date of Birth: (D/M/Y) / Place of Birth: / IF DECEASED PLEASE CHECK APPROPRIATE BOX AND INCL. DATE OF DEATH
YES NO DATE OF DEATH: (D/M/Y)
Next of kin: / (Please include even if very much alive)
Address: / Apartment/Unit #
Prov / Postal Code
Home Phone: / () / Work Phone: / ()

INFORMATION ABOUT NOMINATING PERSON OR GROUP

Name of the Person or Group Submitting the Nomination:
Address: / Apartment/Unit #
Prov / Postal Code
Home Phone: / () / Work Phone: / () / Email
Contact:
(If different from above) / Home Phone: / Work Phone:
I give permission to the Nova Scotia Sport Hall of Fame to use the information contained in this nomination for research purposes YES NO
I certify that the information I provide is accurate and true to the best of your knowledge
SIGNATURE OF NOMINATOR:
For Office
Use Only: / Received By: / Date Received:

In the page below outline the major accomplishments of the athlete. This includes major awards, relevant statistics, records, championships, medals, etc. Please use point form.(Two page maximum, 12 point font minimum)

PLEASE NOTE:

USE OF THE NOMINATION FORM OR FORMAT IS MANDATORY. NOMINATIONS RECEIVED

IN A NON-STANDARD FORMAT WILL BE RETURNED FOR RE-SUBMISSION