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Oshawa Sports Hall of Fame - Nomination Form (Builder)
The following information must be completed accurately. The Selection Committee and/or Board of Governors may research any application. Therefore, please be sure all facts are correct. If space provided for any question is insufficient, please email
oshfselectioncommittee@gmail.com
.
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* Indicates required question
Name (in full) of Nominee
*
Your answer
Email Address of Nominee
Your answer
Phone No. of Nominee
Your answer
Nickname (if any)
Your answer
Place of Birth
Your answer
Date of Birth
MM
/
DD
/
YYYY
Current Address
Your answer
If deceased, when? Where?
Your answer
Dates of residency in the City of Oshawa?
Your answer
Spouse's Name:
Your answer
Children (ages bracketed):
Your answer
Where Educated (Elementary School, High School, College/University)
Your answer
Sport(s) in which Nominee excelled (Team, League, Capacity, Position, Years):
Your answer
Summary of outstanding performances (specify whether Provincial, National or International in nature):
Your answer
Special awards won (include dates and related information):
Your answer
Other information (or a source of information) which you consider important:
Your answer
Name of Person and/or Group Making Nomination:
*
Your answer
Address:
Your answer
Telephone #:
*
Your answer
Email Address:
*
Your answer
Please submit any supporting information (newspaper articles, photos, letters of support etc.) to
oshfselectioncommittee@gmail.com
Thank you for submitting a nomination to the Oshawa Sports Hall of Fame Selection Committee
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