| Submitted by: |
| Phone Number: Home ( _____ ) _______________ |
Work ( _____ ) _______________ |
| Please check the appropriate category: |
Player ____ Other ____ |
| INFORMATION ON CANDIDATE |
| Nominee: |
| Address: | City/State/Zip |
| Phone Number: Home ( _____ ) _______________ |
Work ( _____ ) _______________ |
| 1. Date of Birth | 2. Place of Birth |
| 3. Employer (former if retired) |
| 4. Position |
| 5. High School | 6. College |
| 7. Number of years participating in softball in Prince William County |
| 8. If still playing, list team(s) |
| 9. Awards/Honors Received |
| 10. Most Notable or Distinguished accomplishments |
| 11. Attach brief summary of candidate's softball career (not to exceed 150 words) |
| 12. Provide a chronological tabulation of the candidate's league participation. |
| 13. Candidates are encouraged to submit a booklet of information which could include letters
of recommendation, news articles, career statistics, career story, etc. for review by the Honor
Committee. |
|
|
MAIL TO: