BERNE UNION ATHLETIC HALL OF FAME
Nomination for Induction

Criteria for Eligibility for Berne Union Athletic Hall of Fame:
A.  Must have made a major contribution to the athletic program as an athlete, coach or administrator.
B.  Post graduate accomplishments may be considered.
C.  Athletes must have graduated from Berne Union High School at least 5 years prior to nomination.  (Athletes who did not graduate from Berne Union may be considered under special circumstances).
D.  A coach or administrator must be inactive for at least 3 years in the role of coach or administrator, with the exception of a coach or administrator who has been active for at least 20 years.
E.  All candidates must be of good character.

Complete this form (please print legibly) and return it to:  Berne Union High School, Selection Committee, Athletic Hall of Fame, 506 N. Main Street, Sugar Grove, Ohio  43155.  The application must be received by the Selection Committee no later than March 1 for consideration for the next induction class.

Candidate’s Name ________________________________Phone (   )_______________
Address ________________________________________________________________
City _____________________________________State _________ Zip _____________

Sport(s) for which candidate is being nominated: ________________________________
Years of participation: _____________________________________________________
List below the candidates Varsity Playing or Coaching experience in all sports.

Sport:_________________________________________Years:____________________
Accomplishments:_________________________________________________________
________________________________________________________________________
________________________________________________________________________

Sport:_________________________________________Years:____________________
Accomplishments:_________________________________________________________
________________________________________________________________________
________________________________________________________________________

Sport:_________________________________________Years:____________________
Accomplishments:_________________________________________________________
________________________________________________________________________
________________________________________________________________________

Your Name: ___________________________________Phone (___)________________
Address: ________________________________________________________________
City, State & Zip: _________________________________________________________
Your signature: ___________________________________________________________

If Nominee is deceased, please name nearest relative or contact person below.          Name: ___________________________________Phone (___)_____________________
Address: ________________________________________________________________
City, State & Zip: _________________________________________________________

Comments:  Please explain why you think this candidate should be inducted into the Berne Union Athletic Hall of Fame.  Please attach any additional materials you may think are necessary:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________