Boardman Boosters Hall of Fame Information Form

 

Name: ______________________________ Phone: ____________________

 

Address:  _______________________________________________________
                Street                       City                  State                Zip

 

Education: Boardman High School          Year Graduated: _______________

 

College:  ____________________           Year Graduated: _______________

 

Other:  _________________________________________________________

 

Athletic Accomplishments (High School): Please include individual/ Team records
and awards, team/ conference recognition, District, Regional and State honors.

________________________________________________________________

________________________________________________________________

 

Athletic Accomplishments (College and Beyond):  _______________________

_________________________________________________________________

 

Awards and Honors:

 

High School: ______________________________________________________

 

College:  _________________________________________________________

 

After College:  _____________________________________________________

 

Employment or Profession (Be Specific):  ______________________________

 

Civic Interests: ____________________________________________________

_________________________________________________________________

 

Family Information (Spouse, Children, their present status, employment, etc):

_________________________________________________________________

_________________________________________________________________

 

Immediate Family Members:

 

Name                                                               Address

______________________________________________________________

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

 

Hometown Newspaper(s):  _____________________________________________________

 

Will you attend the induction ceremony if elected?  ________________________

 

Personal Information

 

  1. Names and addresses of present business associates and colleagues:  ________________________________________________________________________________________________

 

  1. Names and addresses of individuals with whom you have worked in the past that you would like the committee to contact: ________________________________________________________________________________________________

 

  1. Names of individuals who were teammates with whom you have remained in contact with over the years:  _________________________________________________________________________________________________

 

  1. Others who you would like the committee to contact:  __________________________________________________________________________________________________

 

 

Please attach additional sheets as necessary.  Return all information forms to:

 

HOF Selection Committee

C/o Boardman HS Athletic Office

7777 Glenwood Avenue

Youngstown, OH 44512