Sylvania Schools Athletic Hall of Fame Nomination Form

The Sylvania Schools Foundation is accepting nominations for persons who graduated from Burnham, Sylvania, Northview, or Southview High Schools.

Nominee Information	Date  	

Name of Nominee	 	
School Attended	 	 Burnham	 	 Sylvania	 	 Northview	 	 Southview	
Year of Graduation	 					
Address	 		City	/State/Zip  		
Primary Phone	 		Cell	 		
Email				

In what sports did this athlete participate?  	

What are the athletic accomplishments of this individual in high school?  	

What are the accomplishments of this individual in college?  	

If nominee is a former coach or administrator, please detail his/her accomplishments.  	

List special recognitions this athlete received while in high school. (Be specific to each sport.)  	

Any additional pertinent information  	

Nominated by                                                                                                                                                          Address                                                                                   City/State/Zip                                                           Primary Phone                                                                        Cell                                                                          
Relationship to Nominee                                                                                                                                         

Please return the completed form to:
Sylvania Schools Athletic Hall of Fame Selection Committee
4747 N. Holland Sylvania Road, Sylvania, Ohio 43560
Email: foundation@sylvaniaschools.org	Fax: 419-824-8503