Online Nomination Form

Online Nomination Form

Nominator

* Indicates required field

Name (please include maiden name if applicable) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Nominee Information

Nominee (please include maiden name if applicable *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Year of Graduation 2000 *

Sport(s) played at THS *

Nominee Qualification

Nominee Category *

Student-Athlete Coach Team Special Recognition

Athletic Achievements (please include honors received, statics, and any additional supporting information) *

Professional Achievements *

Community Service Achievements *

Additional Supporting Information *

Submit

THS Athletics Hall of Fame • PO Box 372, Tiverton, RI 02878 • thsathleticshof@gmail.com