International Swimming Hall of Fame

Transcription

1 International Swimming Hall of Fame Nomination Form For Honoree Consideration 1 Hall of Fame Drive * Fort Lauderdale, FL * (954) (Please type or print clearly) LAST NAME: FIRST NAME: NICKNAME: ADDRESS: _ PHONE: DATE OF BIRTH: PLACE OF BIRTH: CITIZENSHIP OR COUNTRY REPRESENTED: IF DECEASED, DATE OF DEATH: _ PLEASE INDICATE THE CATEGORY OF THE NOMINEE: SWIMMER DIVER WATER POLO PLAYER SYNCHRONIZED SWIMMER COACH CONTRIBUTOR (Point of Service) Complete the following items with as much detail as possible. Be specific to your sport. Coaches list your athletes who competed in each of the areas. Use additional paper if needed. I. OLYMPIC HISTORY Medals attained: Coaches list total number of medals attained by their athletes Gold Silver Bronze Other final placings

2 A. CHRONOLOGICALLY LIST THE OLYMPIC GAMES IN WHICH THE NOMINEE PARTICIPATED: Include events, relays, strokes, times, records established, games, goals scored, position, honors received, results, etc. B. COACHES AND CONTRIBUTORS LIST INVOLVEMENT WITH EACH OF THE GAMES: Include position(s) held, etc. For example - coaching, managerial, administrative, etc. II. WORLD RECORD HISTORY Number of individual World Records attained: Number of relay World Records attained: _ (Coaches list total number of World Records attained by their athletes) A. CHRONOLOGICALLY LIST EACH WORLD RECORD SET: Include event, time, date, location, etc. Coaches lit their athletes and records. III. WORLD CHAMPIONSHIP HISTORY Number of Medals attained: (Coaches list total number of medals attained by their athletes) Gold Silver Bronze Other final placings A. CHRONOLOGICALLY LIST THE WORLD CHAMPIONSHIPS IN WHICH THE NOMINEE PARTICIPATED: Include, events, relays, results, times, records established, games, position, goals scored, honors received, etc. Coaches list their athletes who competed and results. B. COACHES AND CONTRIBUTORS LIST PERSONAL INVOLVEMENT WITH EACH OF THE CHAMPIONSHIPS: Include positions held, etc. For example - coaching, managerial, administrative, etc.

3 IV. NATIONAL CHAMPIONSHIP AND NATIONAL RECORD HISTORY Number of National Championships attained: Number of National Records set: (Coaches list total number of national championships and records attained by their athletes) A. CHRONOLOGICALLY LIST EACH NATIONAL CHAMPIONSHIP ATTAINED: Include events times, scores, dates, locations, games, position, goals scored, honors received, etc. B. INDICATE FROM "A" ABOVE, WHICH WERE NATIONAL RECORDS: C. COACHES LIST THE YEARS AND MEETS IN WHICH TEAMS WON A NATIONAL TEAM CHAMPIONSHIP: Include title, score, date, location, etc. V. HISTORY OF: (LEN) (Check 1 per page) Commonwealth Games Pan American Games European Championships Asian Games Other Number of medals attained: (Coaches list number of medals attained by their athletes) Gold Silver Bronze Other final placings A. CHRONOLOGICALLY LIST EACH EVENT: Include relays, times, records establishes, games, position, goals scored, honors received, results, etc. B. COACHES AND CONTRIBUTORS LIST PERSONAL INVOLVEMENT WITH EACH OF THE GAMES: Include positions held. For example - coaching, managerial, administrative, etc.

4 VI. UNIVERSITY, COLLEGE, OR SCHOOL COMPETITION HISTORY Number of collegiate National Championships attained: A. CHRONOLOGICALLY LIST UNIVERSITY OR COLLEGE NATIONAL CHAMPIONSHIPS ATTAINED: Include events, relays, times, records established, games, position, goals scored, results, honors, etc. B. LIST NAMES OF COACHES UNDER WHICH THE NOMINEE SWAM, DIVED, PLAYED OR PERFORMED: Include dates, team and location. C. COACHES LIST THE YEARS AND MEETS IN WHICH TEAMS WON A NATIONAL TEAM CHAMPIONSHIP: Include title, score, date, location, etc. VII. LIST SPECIAL HONORS AND AWARDS RECEIVED: VIII. LIST INTERNATIONAL AND NATIONAL ORGANIZATIONS AND ASSOCIATIONS ON WHICH THE NOMINEE SERVED OR WAS APPOINTED IX. LIST "MILESTONE" ACHIEVEMENTS OR "FIRSTS" IN THE SPORT WHICH WERE OBTAINED BY THE NOMINEE: X. ADDITIONAL INFORMATION OR DIALOGUE WHICH IS HELPFUL IN PREPARING INFORMATION FOR THIS HONOREE: Submitted by: Print Name

5 Signed Date Telephone