Our Lady of Good Counsel Athletic Hall of Fame Nomination

Individual Submitting Application

Prefix

First Namerequired

Last Namerequired

Maiden Name

Suffix

Class Year or GC Affiliationrequired

Address 1required

Address 2

Cityrequired

Staterequired

Ziprequired

Cell Phonerequired

Email required

IMPORTANT: Eligible class years are 1961-2012. Inductee must be present for induction ceremonies in Fall of 2023. (If deceased individual is elected, an appropriate person shall be chosen by the selection committee to receive the award in absentee.) Note: Please justify, in detail, why your nominee is deserving of membership in the GC Athletic Hall of Fame. You may submit booklets, copies of speeches, brochures, clippings, photos copies of feature stories which present a more complete picture of the candidate's qualifications or other information you feel is appropriate.

Candidate's Information

Prefix

Firstrequired

Lastrequired

Maiden Name

Suffix

Class Year (N/A if not alum)required

Address 1required

Address 2

Cityrequired

Staterequired

Ziprequired

Cell Phonerequired

Email required

The Nominee is an:*

Alumni GC Coach GC Athletic Administrator

If Applicable, nominee served as a GC Coach from:required (mm/dd/yyyy)

To:required (mm/dd/yyyy)

If Applicable, nominee served as a GC Administrator from:required (mm/dd/yyyy)

To:required (mm/dd/yyyy)

College or University:required

College or University:

High School Athletic Record:required

Year(s)?required

Photo

Please provide proof of selection via photo attachment or web link.

Max file size: 10 MB

Web Link required

Please provide proof of selection via photo attachment or web link.

Other Honors and Awards Received:required

Team Accomplishmentsrequired

Any Relevant Stats you are aware ofrequired

High School Extracurricular Activities:required

Membership in Clubs, Organizations, Lodges, Societies, Academies, etc.(Including positions held):

Other Information:

Coaching records or administrative achievements, if applicable:required

What makes this individual a most compelling candidate for the Hall of Fame?required

Attach any additional files, pictures, newspaper clippings, or articles

Max file size: 10 MB

Attach any additional files, pictures, newspaper clippings, or articles

Max file size: 10 MB

Attach any additional files, pictures, newspaper clippings, or articles

Max file size: 10 MB