U.S. Army Pro Football Hall of Fame Award for Excellence Program Nomination Form – Nomination information to be submitted via email to by midnight EDT on December 30, 2016. Please contact Mattison Rankin at 330-588-3714 or with any questions or concerns. STUDENT INFORMATION Eligible students must be in their sophomore, junior or senior year of an accredited high school during the 2016-2017 school year. (ALL FIELDS REQUIRED) Student First Name: Student Last Name: Student Home Mailing Address: Please include City, State and Zip Code Student Phone: Student Race/Ethnicity (Check One): Indian/Alaska Native Student Email Address: or African American Hawaiian or other Pacific Islander or Latino Student Date of Birth: to respond Student Age on January 1, 2017: Currently in School (Y/N): Student Gender: Current Grade: US Citizen (Y/N): Student GPA as of October 1, 2016: Athletic Team Participation & Achievement: Please list all on which student actively participates, along with seasons played and athletic achievements. HIGH SCHOOL INFORMATION (REQUIRED) High School Name and Address: Please include City, State and Zip Code Grade Levels in School: Student Population: Principal/Lead Administrator Name: Does this school have a relationship with a military recruiter? If so, please explain.
U.S. Army – Pro Football Hall of Fame Award for Excellence Program Nomination Form Nomination information to be submitted via email to by midnight EDT on December 30, 2016. Please contact Mattison Rankin at 330-588-3714 or with any questions or concerns. STUDENT INFORMATION Eligible students must be in their sophomore, junior or senior year of an accredited high school during the 2016-2017 school year. (ALL FIELDS REQUIRED) Student First Name: Student Last Name: Student Home Mailing Address: Please include City, State and Zip Code Student Phone: Student Race/Ethnicity (Check One): Indian/Alaska Native or African American Hawaiian or other Pacific Islander or Latino to respond Student Email Address: Student Date of Birth: Student Age on January 1, 2017: Currently in School (Y/N): Student Gender: Current Grade: US Citizen (Y/N): Student GPA as of October 1, 2016: Athletic Team Participation & Achievement: Please list all on which student actively participates, along with seasons played and athletic achievements. HIGH SCHOOL INFORMATION (REQUIRED) High School Name and Address: Please include City, State and Zip Code Grade Levels in School: Student Population: Principal/Lead Administrator Name: Does this school have a relationship with a military recruiter? If so, please explain.
2017-Nomination-Packet-PFHOF.docx