LIBERTY UNION HIGH SCHOOL DISTRICT

ATHLETIC HALL OF FAME

NOMINATION of TEAM
Team Name: / Team Nickname:
Year(s) Team Played:
Sport Team Played:
Person Making Nomination
Name:
Address:
Number & Street / City / State / Zip Code
Phone Number: / Home: ( ) / Office: ( )
Date: / Signature:
Note to person making nomination:
1.  Please be as explicit as possible (Do not use excess verbiage).
2.  If you run out of room, use the reverse side or supply an addendum.
3.  If you have press clippings, please Xerox and include them with any other exhibits you may have.
4.  You must include a photograph (either or both – when candidate was an athlete or a current photo.
5.  When you have completed the application, please send all materials to:
LIBERTY UNION HIGH SCHOOL DISTRICT
ATHLETIC HALL OF FAME
ATTN: SELECTION COMMITTEE CHAIRMAN
929 SECOND STREET
BRENTWOOD, CA 94513
Nomination of Team:
Please list resume of teams’ activities (Use back of sheet or addendum if necessary)

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Nomination of Team

LIBERTY UNION HIGH SCHOOL DISTRICT

ATHLETIC HALL OF FAME

Please fill the following out as completely as possible! If a person is deceased, please note under remarks and put in address of survivor – noting relationship to decedant if possible.
Coaches:
Name / Position / Remarks
Address / City / State / Zip Code / Phone No.
Name / Position / Remarks
Address / City / State / Zip Code / Phone No.
Name / Position / Remarks
Address / City / State / Zip Code / Phone No.
Name / Position / Remarks
Address / City / State / Zip Code / Phone No.
Manager(s):
Name / Position / Remarks
Address / City / State / Zip Code / Phone No.
Name / Position / Remarks
Address / City / State / Zip Code / Phone No.
Name / Position / Remarks
Address / City / State / Zip Code / Phone No.
Team Members:
Name / Position / Remarks
Address / City / State / Zip Code / Phone No.
Name / Position / Remarks
Address / City / State / Zip Code / Phone No.
Name / Position / Remarks
Address / City / State / Zip Code / Phone No.
Name / Position / Remarks
Address / City / State / Zip Code / Phone No.
Name / Position / Remarks
Address / City / State / Zip Code / Phone No.
Name / Position / Remarks
Address / City / State / Zip Code / Phone No.
Name / Position / Remarks
Address / City / State / Zip Code / Phone No.
Name / Position / Remarks
Address / City / State / Zip Code / Phone No.
Name / Position / Remarks
Address / City / State / Zip Code / Phone No.

Page 1 of 5

Nomination of Team

LIBERTY UNION HIGH SCHOOL DISTRICT

ATHLETIC HALL OF FAME

Name / Position / Remarks
Address / City / State / Zip Code / Phone No.
Name / Position / Remarks
Address / City / State / Zip Code / Phone No.
Name / Position / Remarks
Address / City / State / Zip Code / Phone No.
Name / Position / Remarks
Address / City / State / Zip Code / Phone No.
Name / Position / Remarks
Address / City / State / Zip Code / Phone No.
Name / Position / Remarks
Address / City / State / Zip Code / Phone No.
Name / Position / Remarks
Address / City / State / Zip Code / Phone No.
Name / Position / Remarks
Address / City / State / Zip Code / Phone No.
Name / Position / Remarks
Address / City / State / Zip Code / Phone No.
Name / Position / Remarks
Address / City / State / Zip Code / Phone No.

Page 1 of 5

Nomination of Team