Goshen Local Schools Hall of Fame

Nomination Form for selection as a



Today's Date: _________________

Name of Candidate___________________________________________

Address: ___________________________________________________


Phone Number: ______________________________________________

Subject Taught, Sport(s) Coached, or Area of Administration:


Years Employed or Years Coached (From When to When in Each Sport):




Reason for Nomination:


Biographical Information (Other achievements and recognition.)




Nominator's Name, Address, & Phone Number


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