Nominee may be living or deceased
Outline the reasons why you wish to nominate the above named individual.

Athletic accomplishments while attending Tecumseh High School:
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Athletic accomplishments after high school:
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Community activities and accomplishments:
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Other comments:
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Name of Nominee's Coach (es): ___________________________________________________

Your name: ____________________________________  Your phone: ____________________
Your address: _________________________________________________________________
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Date: _____________________

- Please fill in each line.  In the event that you do not know the requested information, please state :don't know".
- Mail or submit this form to: Athletic Director, Tecumseh High School, 9830 W. National Road, New Carlisle, OH 45344.
- Must have graduated from, or stopped coaching at Tecumseh School District not less than ten (10) years prior to nomination or have a minimum of ten (10) years of service.
- Selection of successful candidates will be completed by May 31, 2003.