EmailMe Form - NJ HS Ice Hockey Hall of Fame Nomination Form

The following section is for person that you are Nominating.

Please supply as much information as possible.

Name of the Nominee *

First Last

Nominee's Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

(if known)

Nominee's Phone

### - ### - ####

(if known)

Nominee's Email address

(if Known)

Age

Nominee's Date of Birth

MM / DD / YYYY

(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 the 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

Please supply your contact information

Your Name *

First Last

Your Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Your Phone Number *

### - ### - ####

Your Email Address *

Your Affiliation with NJ HS Hockey *

Achievements in Category Nominated

(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 category, 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. *

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. *

Reason for Nomination

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