NOMINATION FOR QHS BLUE DEVIL SPORTS HALL OF FAME

APPLICANTS NAME:_________________________________________________________
ADDRESS:__________________________________________________________________
CITY:_____________________________STATE:_________________ZIP:_______________
TELEPHONE: DAY:________________________EVENING:________________________

CATEGORY:  (PLEASE CHECK) HIGH SCHOOL ATHLETE_____ / COACH________/
COLLEGE OR PRO ATHLETE_______/ TEAM________/FRIEND OF SPORTS_______

1: ATHLETE (HIGH SCHOOL OR COLLEGE OR PRO)
YEAR GRADUATED FROM QUINCY SENIOR HIGH:  ___________
COLLEGE ATTENDED:_______________________________________________________
YEAR ATTEND COLLEGE:   ___________ TO _________________
OTHER:  (PRO, ETC)_________________________________________________________
YEAR APPLICANT EARNED A LETTER:_______________;    NAMED TO All-___________
ALL-CONFERENCE___________; ALL-STATE__________; ALL- AMERICAN______________
WHICH SPORT(S) WAS AWARD EARNED:___________________________________________
OTHER INFORMATION THAT WOULD QUALIFY THE APPLICANT FOR QHS BLUE
DEVIL SPORTS HALL OF FAME:__________________________________________________
____________________________________________________________________________
____________________________________________________________________________

2: COACH:
QUINCY  HIGH SCHOOL SPORTS(S) COACHED & YEAR(S):____________________________
REASON FOR NOMINATION:______________________________________________________
____________________________________________________________________________
____________________________________________________________________________

3: TEAM:____________________________________________________________________
YEAR(S):____________________________________________________________________
SPORT:_____________________________________________________________________
RECORD:____________________________________________________________________
REASON FOR NOMINATION:_____________________________________________________
____________________________________________________________________________
___________________________________________________________________________   
                                                                                   
         
4: FRIEND OF SPORTS:
REASON FOR NOMINATION:_____________________________________________________
____________________________________________________________________________
____________________________________________________________________________



NAME OF PERSON MAKING NOMINATION:____________________________________
ADDRESS:_____________________CITY:________________STATE:_____ZIP:_________
PHONE: DAY:_______________________ EVENING:______________________________
E-MAIL ADDRESS OR WEB PAGE:_____________________________________________
DATE OF NOMINATION: _______/_________/_________