Inductee Nomination Form 2023

If you would like to nominate someone for the BHS/BUHS Athletic Hall of Fame – Here is the Nomination Form. Copy it and paste it into your own document:

BHS/BUHS Athletic Hall of Fame Nomination Form

Recent Inductee Kari Greenbaum 

The Selection Committee will consider nominations from any source as long as adequate information is provided. Nominations may be made using the online nomination form or in written form sent to the Selection Committee. Nominations must include the following information:

• Name of nominee
• Graduation year of nominee (if applicable)
• Nominee category (Student-athlete, Coach, Administrator, Team, Official)
• Sport(s) played at BHS/BUHS
• Athletic accomplishments at BHS/BUHS
• Comments or other supporting information, including relevant non-BHS/BUHS athletic accomplishments
• 2 Letters of Support
• Complete Inductee Biographical Information sheet

Deadline:  May 25, 2023

Forward to [email protected]

Or mail to:

BUHS Athletic Hall of Fame 

PO Box 8018

Brattleboro, Vermont 05304-8018

For the Nominee

• Forward photograph(s) for the Hall of Fame Program – we like to have at least 5 photos in order to make a slideshow honoring the inductee.

Can be either hard copy or digital picture (digital preferred).

Deadline:  June 2, 2023

 

• Prepare remarks to be shared with the audience at the induction.  3-5 minutes in length

Nominee Information

 

1. Please print or type your name as you wish it to appear on your certificate and in the program.
2. High School
3. College 
4. Degrees Earned
5. Career (Please list dates)
6. Professional Highlights
7. Honors & Awards
8. Other relevant information 

 

Please return to  [email protected] by June 2, 2023

Or mail to:

BUHS Athletic Hall of Fame 

PO Box 8018

Brattleboro, Vermont 05304-8018

• Nominator’s contact information
  • Name
  • Email address
  • Phone number
  • Alma mater/year
  • Relation to nominee

 

1. The annual deadline for nominations is May 25, 2023. Nominees will be reviewed and selected in May and inducted at the annual banquet on October 28, 2023 at Brattleboro’s American Legion.
2. All nominations will be considered for a three-year period. If a candidate has not been inducted after three years, he or she must be re-nominated at that time to receive further consideration.
3. Nominee:

Name: (First, Middle, Last)	Name
Street Address:
City, State, Zip Code:
Telephone:
E-mail:

 

2. Nomination Category (Please check the appropriate nomination category)

❑ Athletic/Activity Participant 

❑ Coach/Activity Advisor 

❑ Official 

 

❑ Media 

❑ School Administrator 

❑ Public Contributor

2 a.  Is the nominee still active in any other area than the category for which they are being nominated? Yes   ____ No ____     (Please check one) 

 

3.   Is This a Posthumous Award? Yes _____ No ____ (Please check one)

If yes, please provide the name and contact information of the nominees’ closest living relative:    (If known)

Name: (First, Middle, Last)
Street Address:
City, State, Zip Code:
Telephone:
E-mail:

 

4. Educational Background of Nominee

 

School Name	City, State	Year of Graduation
(High School) Brattleboro Union High School
(Undergraduate College) ABC College
(Graduate College)

 

5. Reason for Nomination:  

 

Please provide a description for your nomination.

 

The committee requires two (2 letters of recommendation written in support of the nominee. The body of these letters should detail their accomplishments within the category of nomination. 

 

6. Letters of Recommendation

 

Recommendation Letter No. 1:

Recommendation Letter No. 2:

 

7. Person(s) Submitting the Nomination:

 

Name: (First, Middle, Last)
Street Address:
City, State, Zip Code:
Telephone:
E-mail:

 

Signed:  

Date:

 

For Office Use Only

 

Date Application Received	Rec 1 Rec’d Date	Rec 2 Rec’d Date	Rec 3 Rec’d Date	Acknowledgment Sent

 

8. Photos/documents/clippings in support of the nominee:

 

Include in the nomination either hard copy or scans