Mount Pearl Sports Hall of Fame Nomination Form
Deadline March 5, 2024
Please fill out all necessary questions.

Sports Hall of Fame

 

Individuals may be nominated in one of three categories:

 

1. Athlete - Those who have achieved excellence as athletes during their competitive days;

2. Athlete/Builder - Those who have achieved excellence, both as athletes and builders of sport in Mount Pearl; and

3. Builder - Those recognized as outstanding builders of local sport clubs and associations.

 

Minimum requirements...

 

  1. There shall be three individual categories:  athlete; builder; athlete builder
  2. There is also a team category – Team Honour Roll
  3. Candidate must be at least thirty-five years of age.
  4. Candidate must have had significant achievement as an ‘athlete’ in a Mount Pearl sport (or in a sport with no team in Mount Pearl), or made a significant contribution as a ‘builder’ of sport in Mount Pearl. This achievement or contribution shall be for a period of at least five years. Also, a candidate must have lived in Mount Pearl for at least five years, or participated in a sport in Mount Pearl for at least five years. (Candidates are required to meet all the conditions of this section, #04)
  5. Candidate must have amateur status at the time of selection, and/or be retired from highest level of competition – for at least three years.

Questions: Please contact the Sports Hall of Fame Selection Committee Chair, Harold Stapleton, with any inquiries at hstapleton@nl.rogers.com or the Mount Pearl Sport Alliance at sportalliance@outlook.com.

 

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Part I
Nomination Type *
Nominee's Name *
Nominee's Address
Phone Number
Email
Date of Birth
MM
/
DD
/
YYYY
If Deceased, Date of Death  (If Required)
MM
/
DD
/
YYYY
Next of Kin (If Required)
Next of Kin Address  (If Required)
Next of Kin Phone Number  (If Required)
Next of Kin Email  (If Required)
Period this nominee was a resident of Mount Pearl
 *
Name of Nominator
 *
Address *
Phone Number *
Email
If the nomination is on behalf of a nominating organization, name it here
Part II 

List details of the nominee’s competitive career as an athlete, including names of teams (if applicable), championships attained, medals won, records and awards achieved (e.g. Most Valuable Player; All-Star selection, etc.). Complete under the headings: International Competition (Olympics, etc.); National Competition (Canada); Provincial Competition (Newfoundland & Labrador). In each case list in chronological order, beginning with most recent years.

(For Athlete/Builder nominees, use this section for your “Athlete” content)
Please enter as much information as necessary.
International Competition (Athlete)
National Competition (Athlete)
Provincial Competition (Athlete)
Part III

List details of Nominee’s career as a builder, including names of organizations, positions held, duties performed, years of service, championship participation, etc. Complete under the heading International Activities; National Activities; Provincial Activities. In each case list chronological order, beginning with most recent.

(For the Athlete/Builder nominees, use this section for your “Builder” content)
Please enter as much information as necessary.
International Competition (Builder)
National Competition (Builder)
Provincial Competition (Builder)
Community Activities (Builder)
Part IV

Additional Information
Any additional information
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