NJ HS Ice Hockey Hall of Fame Nomination Form | NJ High School Ice Hockey Hall of Fame

About the Nominee

Name of the Nominee *

Nominee's Address (Please include current city and state if known)

Nominee's Phone

Nominee's Email

Nominee's Age (if known)

Nominee's Date of Birth (if Known)

High School(s) Attended *

Year of Graduation *

Post Graduate School Attended (If any or if known)

College Attended (If any or if known)

Nominee's Current Profession

Category Nominated For *

Is Nominee Still Involved in Ice Hockey? *

Yes

No

Did the Nominee Play any other Sports in HS? If so, please list them.

Is the Nominee Deceased?

Yes

No

If Nominee is Deceased, Please Supply Date of Death (If Known)

About You

Your Name *

Your Address (Please include current city and state) *

Your Email Address *

Your Phone Number

Your Affiliation with NJ HS Hockey *

Achievements in Category Nominated For (Emphasize High School Achievements)

For nominee in student athlete and coach categories, list records, titles, achievements, awards, honors, captain, MVP, etc.

For nominee in contributor/official categories, list programs developed, work with athletes, coaches and officials organizations, administrative achievements, number of contests officiated, number of postseason contests officiated, levels etc.

For nominee in team category, list years, coaches, records, honors, team members, etc.

Contributions to High School Ice Hockey

List nominee's contributions as a leader, speaker, writer, innovator, athlete or elected appointed officer or committee member, which had an impact on the hockey community. * *

Professional Affiliations and Achievements

List involvement in local, state and national coaching/administrative/officiating/educational associations and other related organizations. List any area of athletics other than the category in which nominated in which the nominee is still active. *

Reason for Nomination

Provide your personal beliefs, opinions and sentiment why the nominee should be inducted into the Hall of Fame. *

Additional Information

Provide any additional information about the nominee that substantiates their accomplishments and contributions, which was not included in the other sections. *

Provide personal, relevant information regarding the nominee’s family, friends, life during and after high school, etc. *

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