Supporter - Hall of Fame Nomination Form
Thank you for your interest in completing a nomination to be considered for the Pana Sports Foundation Hall of Fame. Please complete all sections of the form to the best of your ability. Forms must be submitted by June 15th, 2024. Printed forms are available at TCCU Credit Union in Pana.
Nominator Name
Nominator Address
Nominator Email
Nominator Phone Number
Relationship to Nominee
Nominee is a:
Select an option
Supporter
Nominee Name
Nominee Address
Nominee Email Address
Nominee Phone Number
PHS Class Year if applicable
College Attended
Grad School Attended
Is the nominee deceased?
Yes
No
Time Period of Service to PHS
In what capacity did the nominee serve PHS athletics?
How did the actions of the nominee advance athletic programs at PHS?
School, Community and Professional Career Involvement
Additional Information/Comments
Submit
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