Athletic Hall of Fame Nomination Form - Jacksonsd.org

Jackson Memorial High SchoolAthletic Hall of FameNomination FormDon Connor – AdministrationHelen O’Connell – AthleteBernie Reider - CoachEd Rivera – AthleteRob Johnson – AthletePatricia Brooks - CoachLawrence D’Zio – CoachGlenn Edwards – AthleteMike Costa – CoachTim Murphy – AthleteAshley Eure - AthleteDavid Greene – AthleteBaseball 1972 – TeamSoccer 1990 – TeamHector Rivera – AthleteRob Connor – AthleteMichelle Nikolayew – AthleteRich Morris – AthleteLeon Davis – AthleteLou Durant – AthleteScott Goodale – Athlete/CoachBoys Bowling 76-78 – TeamGirls Bowling 77-78 – TeamGirls Bowling 74–75 - TeamErin Gleason – AthleteMark Fink – AthleteTom Tarver – AthleteCharlie Best – CoachRachel Goodale – AthleteDonna Maher – CoachGreg Archer - AthleteJohn Langford - AthleteNOMINATION FORMNOMINEE’S NAME:YEAR OF GRADUATION:PRESENT ADDRESS:TELEPHONE NO.:NOMINATING PERSON:PHONE NO.:I. Jackson Memorial High School Athletic Career:A. Teams played on:B. Number of years on each team and award (varsity letter):C. List any records, awards or honors nominee received while participating on theseteams (Ex. All Conference, All Group, etc.):

II.Jackson Memorial Coaching Experiences:A. Team(s) coached:B. Years coached:C. Record of teams coached:D. Championships or honors received as coach:III.Athletic Career After Jackson Memorial (include college, amateur, professional sports andcoaching):IVPresent Position (include employment, educational and community participation):Please return this form to:Michael Walsh, Athletic Hall of FameJackson Memorial High School101 Don Connor Blvd.Jackson, NJ 08527If you have any questions, please call 732.833.4635.Thank you for your help.Jackson Memorial High School Athletic Hall of Fame Committee