****This is a SAMPLE****
Only Two Nominations Per Person Per Year
2012 WILP Sports Hall of Fame
Nomination Ballot
I recommend the following individual who has been out of school for at least 10 years for WILP Sports Hall of Fame:
1. Name _______________________________________________________ Year of Graduation _____________
Address ___________________________________________City __________________________________ State ______ Zip_______________
Phone (________) ___________________________ Date of Birth ____________________ E Mail_____________________________________
2. Category: (mark all that apply)
_____ Weslevville Athlete *FOR DECEASED NOMINEES ONLY
_____ Lawrence Park Athlete Nearest Relative _____________________________
_____ Iroquois Athlete Address ___________________________________
_____ Former WILP Coach and/or Administrator ___________________________________________
School(s) _______________________________ Phone _____________________________________
_____ Special Category (Booster, Honorary Citizen, etc.) Relation ___________________________________
_____ Posthumous*
_____ Misc. Athletic
3. Sport participated in at WILP: Number of Varsity Letters earned / Years earned:
__________________________________________ __________ ___________
__________________________________________ __________ ___________
__________________________________________ __________ ___________
__________________________________________ __________ ___________
Outstanding accomplishments: (school records, etc.) ______________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Honors Earned: (WILP, League, County, District, State) ___________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
4. Head Coaching Experience(s):
Sport During What Years Record
_____________________________ ________________ ___________
_____________________________ ________________ ___________
_____________________________ ________________ ___________
Outstanding accomplishments, honors, etc.: _____________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Sports coached as an assistant & number of years in each: __________________________________________________________________________
_______________________________________________________________________________________________________________________
5. College/University Attended _________________________________________________Degree Earned __________________________________
College/University sports, letters earned, accomplishments __________________________________________________________________________
_______________________________________________________________________________________________________________________
6. Special Category: List contributions _________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Other personal athletic accomplishments since graduation from WILP: ________________________________________________________________
_______________________________________________________________________________________________________________________
Please include pictures, newspaper clippings, scrapbooks or any other items that will add to your nominee’s evaluation. If additional space is needed for any item feel free to add additional pages.
Signature of person making nomination: ___________________________________________________________________________________
Please Print: Name __________________________________________________ Date ____________________________
Address ____________________________________________ City ___________________________________ State ____ Zip ________________
Phone (________) ___________________________________
Nominations will be retained for consideration for a minimum of 10 years. The person must be re-nominated each year if not elected in current year. Nominations are due by May 1st to be considered for September inductions.
Mail to: Iroquois High School
c/o “WILP”
4301 Main Street
Erie, PA 16510