Nomination Form – Team Category – LUNENBURG COUNTY SPORT HERITAGE SOCIETY

TEAM INFORMATION

In this section, you will enter information about the Team you are nominating for enshrinement in the Lunenburg County Sport Heritage Society (LCSHS) Wall of Fame. Please click here for complete eligibility requirements.

Upon completing the entirety of this form, please click the “Submit” button at the very bottom of this page to forward your completed application to the LCSHS.

Your nomination package has been sent!

Your message has been sent. Thank you for taking the time to submit a nomination form. A representative from the LCSHS will be in contact with you. Please allow up to one week for a response.

Name of Team

Date of Submission

Name of Team Contact

Address of Team Contact

Phone and/or e-mail contact of Team Contact

Years active in competition (e.g. 1985 to 1996)

NOMINATOR INFORMATION

By checking this box, as the Nominator, you verify that all information included in this application is accurate and timely to the best of your knowledge, and that all package requirements have been included. Checking the box also verifies that you understand that all supporting documents, including photos, become property of the Lunenburg County Sport Heritage Society and will not be returned.

By checking this box, I signify that I understand that as the Nominator I will be required to also provide two signed letters of support for the Nominee that will be provided either as attachments on this page or subsequently to the Chairperson for the LCSHS Board of Directors.

Name of Nominator

Relationship to Nominee

Mailing Address

Phone Number

E-mail Address

TEAM’S PROFILE AND ACCOMPLISHMENTS

In this section, you will provide details about the Nominee Team’s achievements and contributions. Please provide as much detailed information as possible in order to ensure the nomination is complete and competitive. A minimum of three major accomplishments should be included in any solid nomination package.

Sport(s) of prominence

Lunenburg County Roots/Connection

Affiliation with Lunenburg County Organizations (if applicable)

Contribution to Sport in Lunenburg County

Roster (Team members, coach(es), support staff, etc.) Please enter the name and contact information for all Roster members.

Accomplishments 1 – Year or Year Range

Accomplishments 1 – Achievement Details (Highlights, titles, medals, records)

Accomplishments 1 – Description of Level of Activity (Team/Organization and level of competition – local, provincial, national, international)

Accomplishments 2 – Year or Year Range

Accomplishments 2 – Achievement Details (Highlights, titles, medals, records)

Accomplishments 2 – Description of Level of Activity (Team/Organization and level of competition – local, provincial, national, international)

Accomplishments 3 – Year or Year Range

Accomplishments 3 – Achievement Details (Highlights, titles, medals, records)

Accomplishments 3 – Description of Level of Activity (Team/Organization and level of competition – local, provincial, national, international)

Accomplishments 4 – Year or Year Range

Accomplishments 4 – Achievement Details (Highlights, titles, medals, records)

Accomplishments 4 – Description of Level of Activity (Team/Organization and level of competition – local, provincial, national, international)

Use this space to provide additional details on the Nominee Team’s accomplishments and contributions to sport in Lunenburg County that the Selection Committee and Board of Directors should be made aware of:

Statement of Recommendation: Detail why you think this candidate Team should be recognized by the Lunenburg County Sport Heritage Society Wall of Fame. What attributes definitively show this nominee to be a worthy candidate?

Use this field to upload documents that support your nomination package, including photos and newspaper clippings.

Drag and drop or click to select a file.

Upload a file

Drag and drop or click to select a file.

Upload a file

Drag and drop or click to select a file.

IMPORTANT INFORMATION
Deadline for all submissions is April 15 annually. Induction typically takes place in early November, with candidates for induction in a given year generally confirmed by June.

For questions or concerns, please contact the co-chair of the Lunenburg County Sport Heritage Society, Mark Nelson, at 902-543-4085.

TEAM INFORMATION

Your nomination package has been sent!

NOMINATOR INFORMATION

TEAM’S PROFILE AND ACCOMPLISHMENTS

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