Section V Basketball Hall of Fame Nomination Form
[Print out this form, and mail it in with your nomination.]
Person Submitting This Nomination

1. Name: ______________________________
2. Address: ______________________________
  City, State Zip ______________________________
3. Phone Number: ______________________________
4. Email: ______________________________

Nominee's Biographical Information

1. Name: ______________________________
2. Address: ______________________________
  City, State Zip ______________________________
3. Phone Number: ______________________________
4. Email: ______________________________


Involvement with Section V Basketball.
In this section of the nomination form, please give specific information on your candidate's participation with any aspect of Section V Basketball, as a player, coach, official, committee member, or other relationship. If possible, give dates, responsibilities, and other pertinent information to support your candidate.













Involvement Outside of Section V Basketball.
In this section of the nomination form, please give specific information on your candidate's participation with Basketball, outside of the realm of Section V. Again, please be specific with dates, responsibilities, and other pertinent information to support your candidate.













Involvement with Section V Outside of Basketball.
In this section of the nomination form, please give specific information on your candidate's participation within Section V, other than Basketball. Again, please be specific with dates, responsibilities, and other pertinent information to support your candidate.













Outside Affiliations.
In this section of the nomination form, please list organizations such as clubs, service groups and the like, that your candidate is currently, or has in the past been affiliated with. Again, please be specific with dates, responsibilities such as offices held, and other pertinent information to support your candidate. Please indicate if your candidate is currently a member of each organization cited.













Community Service.
In this section of the nomination form, please list any Community Service that your candidate has played a major role in. Some examples would be holding office in his community, heading up a United Way Campaign or other fund-raising drive, running a blood drive or some form of disaster relief program, or serving on their community Fire Dept. or Ambulance Corps. Again, please be specific with dates, responsibilities such as offices held, and other pertinent information to support your candidate. Please indicate if your candidate is currently a member of each organization cited.

















Testimonial.
In this section of the nomination form, please tell why your candidate deserves to be selected for membership in The Section V Basketball Hall of Fame. In this section you can provide any additional information you feel is pertinent, that has not been covered in the previous sections. You are nominating this candidate for reasons you consider very important, and the Selection Committee must weigh these reasons carefully as the other information presented on this form.













Formal Nomination.
By submitting this form, you do hereby nominate your candidate for election into the Section V Basketball Hall of Fame. Please be sure all information at the top of this form is complete.













Please mail your nomination to the address below:

Section V Basketball Hall of Fame
C/O Mr. Jeff Gifford
PO Box 440
PennYan, NY 14527