NEBRASKA HIGH SCHOOL HALL OF FAME
OFFICIAL NOMINATION FORM
Complete and mail to Dick Beechner, 3214 20th Ave. Kearney,
68845. Deadline is Oct. 1.
Nominee:
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First Name Nickname Middle Last
Date Submitted: ____________________________________________________________
Circle Appropriate Category: Athlete Coach Official Contributor
Date of Birth: _____________________________ Indicate if deceased: ____
Place of Birth: __________________________________________________________
High School: _____________________________________________________________
City: ___________________________________________________________________
Name of Spouse or Closest Living Relative:
Name: _________________________________________________________________
Address: _________________________________________________________________
Phone: _________________________________________________________________
List: Sport(s) in which nominee was involved:
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Individual Submitting Nomination Information
Name: ________________________________________________________________
Relationship to Nominee (Relative, professional colleague friend, etc.)
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Address: __________________________________________________________
City, State, Zip: __________________________________________________________
Telephone Number: __________________________________________________________
Signature: __________________________________________________________
Date Submitted: __________________________________________________________
Instructions
1. Complete all requested information in printed or typewritten form.
2. Include letters of recommendation, limited to one typewritten page.
3. Submit a current black-and-white photo of nominee.
4. If applicable, submit a black-and-white photo of the nominee during the period of time in which he/she was involved in the category.
5. A limited number of newspaper clippings, magazine articles or other supportive materials also may be attached.
6. The form, the letters and photos will be retained by the Nebraska High School Sports Hall of Fame.
General Criteria
1. The nominee must have been involved with an athletic activity in a Nebraska high school in the category for which he or she is nominated.
2. The nominee must have demonstrated outstanding abilities and contributions in the category for which nominated.
3. The nominee must have demonstrated high moral character, outstanding citizenship and ideals.
Specific Criteria
The following definitions and criteria shall apply to the six nominating categories. There are no quotas for any category.
Athlete/High School Achievement. Any high school athlete who participated in high school athletics and whose primary achievement in the field of athletics occurred during such high school participation. Any
such person may not be considered until 15 years after high school graduation.
Athlete/Post High School Contribution. Any athlete who participated in high school athletics and whose primary contribution to athletics occurred after his or her high school career. Any such person may not be
considered until 15 years after high school graduation.
Coach. An employee of a Nebraska School District who has acted as a coach, sport or director of a sanctioned activity for a minimum of 20 years and 60 years old if still coaching..
Official. An official who has been registered with the Nebraska School Activities Association for a minimum of 20 years.
Contributor. A person who has contributed to high school athletics in some capacity other than the above-mentioned categories. A contributor might be an individual who has authored articles or
publications in the athletic field or who has served schools and students by managing an athletic activity, working in a community to promote high school athletics, or any individual who has made significant contributions to
high school athletics.
EDUCATIONAL BACKGROUND
Name of Institution City, State Years Degree
High School:
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College:
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ACHIEVEMENTS, CONTRIBUTIONS & HONORS
This is where you make your point in support of the nomination. List objective, statistical records in activity, such as won-lost records, titles, points scored, career facts, and highlights. In the case of non-athletes/coaches, list contributions as a speaker, writer, innovator or any other achievement which causes this person to be a candidate. List the year and achievements, from high school through post-high school if
appropriate or compile your own list on a separate sheet. You are to focus on the nominee's contributions which had the most significant impact on high school sports.
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