Newmarket Sports Hall of Fame Inductee Nomination Form

Newmarket Sports Hall of Fame
Inductee Nomination Form
The following information is requested so that the person/team being nominated can be
considered for induction. In the nomination process, it is important that the person(s)
submitting the nomination form completes the form in as much detail as possible, while
ensuring that the data provided is as accurate as possible. Please include any newspaper
or magazine articles and letters from sport governing bodies that would aid the
nominating committee in their decision – please note that submissions will not be
returned, so where possible, please submit photocopies as appropriate.
The personal information on this nomination form is collected under the authority of the
Municipal Freedom of Information and Protection of Privacy Ac, R.S.O. 1990, c. M.56,
and will be used to process this nomination form for induction of the nominee into the
Newmarket Hall of Fame. It is understood that this nomination form is a public document
and that the personal information of the nominee will be used in the creation of exhibits
open to the public and may be used to generate media coverage. Any questions about this
collection of personal information can be directed to the Clerks Department at (905)
895-5193, ext. 2200.
Inductee Personal Data:
Full Name: _____________________________________________________________
Nickname: _____________________________________________________________
Address: _______________________________________________________________
City/Province/Postal Code: ________________________________________________
Telephone: Home: ______________________ Business: _______________________
Birth Year: _____________________________ Place of Birth: ____________________
If deceased, Year of Death: ___________
If deceased, please include next of Kin/ personal representative contact information below:
Name: ________________________________________________________________
Address: _______________________________________________________________
City/Prov/Postal Code: ____________________________________________________
Telephone: Home: __________________ Business: ________________
OFFICE USE ONLY
Date Rec’d: ____________ Rec’d By:______________
Submitted By: __________ Ph #:__________________

Sporting History and Involvment
Year(s) Team/Club Name Competitive Level Achievements
1. _____________________________________________________________________
_____________________________________________________________________
2. _____________________________________________________________________
_____________________________________________________________________
3. _____________________________________________________________________
_____________________________________________________________________
4. _____________________________________________________________________
_____________________________________________________________________
Special Awards, Recognition or Titles (MVP, Scoring Titles, Team Capt., Nat. Team
member, President, Chair, Founder etc.)
Year (s) Team/ Club Name Competitive Level Award/recognition Won
1. ____________________________________________________________________
____________________________________________________________________
2. ____________________________________________________________________
____________________________________________________________________
3. ____________________________________________________________________
____________________________________________________________________
4. ____________________________________________________________________
____________________________________________________________________
Please state the reasons you are submitting this Person/Team for induction
consideration:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

Please state what you believe to be the major strengths of this inductee:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Please enclose any other information that you believe would be important to know:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Please Return Completed Form To:The Town Of Newmarket
ATTN: Rob Wilson
395 Mulock Dr
PO Box 328 STN Main
Newmarket On, L3Y 4X7
Forms may also be submitted in person to Newmarket recreation facilities
ATTN Rob Wilson
Nominations for the current year are accepted until March 31.

Contact Information:
Please provide the following information to allow the committee to contact you for
further information, as required:
Date Submitted: _________________________________________________________
Name: _________________________________________________________________
Address: _______________________________________________________________
City/Prov./Postal Code: ___________________________________________________
Telephone: (Home) _______________________ Business: _____________________
E-mail: ________________________________________________________________
Signature:
_______________________________________________________________________
References:
For the purposes of compiling information on the Nominee to assist the Selection
Committee in judging, we requests three (3) references (at least one being from a non
family member).
Name: _______________________________ Telephone: _______________________
Address: _______________________________________________________________
Name: _______________________________ Telephone: _______________________
Address: _______________________________________________________________
Name: _______________________________ Telephone: _______________________
Address: _______________________________________________________________
Note: Please feel free to attach additional paper if required.

INDUCTEE CONSENT
TO: THE NEWMARKET SPORTS HALL OF FAME
RE: CONFIDENTIAL INFORMATION RE: INDUCTEE
_________________________________________
(print Inductee’s full name)
I, ____________________________________________, representing myself as the
Inductee,
(print Inductee’s full name)
hereby consent and agree that the Newmarket Hall of Fame may collect and disseminate
personal information regarding myself, the Inductee as set out above, for all promotional
displays, media coverage in any format, including print or electronic media, certificates,
exhibits,
biographies, etc.
DATED AT Newmarket this _____________________ day of __________________,
20____.
_____________________________ ______________________________
Witness Inductee
(Sign on line and print name below signature) (Sign on line and print name below
signature)
CONSENT OF PERSONAL REPRESENTATIVE

TO: THE NEWMARKET SPORTS HALL OF FAME
RE: CONFIDENTIAL INFORMATION RE: DECEASED INDUCTEE
_________________________________________
(print Inductee’s full name)
I, ____________________________________________, hereby declare that I, as the
(print your full name)
duly authorized personal representative of the estate of
______________________________
print deceased Inductee’s full name)
hereby consent and agree that the Newmarket Hall of Fame may collect and disseminate
personal information regarding the Inductee as set out above, for all promotional
displays, media coverage in any format, including print and electronic media, certificates,
exhibits, biographies, etc.
It is understood and agreed that no further permission beyond this consent must be sought
from the personal representative of the deceased’s estate with respect to the use of the
Inductee’s
personal information for the purposes set out herein.
DATED AT Newmarket this _____ day of __________________, 20____.
Personal Representative: ______________________________________________
Relationship to the Deceased Inductee: __________________________________
Personal Representative’s Address: _____________________________________
Personal Representative Telephone: _____________________________________

The Newmarket Sports Hall of Fame
The Newmarket Hall of Fame will honour the town’s
greatest athletes and builders. It is being established to
celebrate the outstanding historical tradition of athletic
achievement and leadership demonstrated in the Town of
Newmarket.
Location:
The Newmarket Sports Hall of Fame is located on the 1 st floor of the
Magna Centre, just before the entrance to the team changing rooms.
Vision/Mission:
To honour those individuals and teams from Newmarket who have
achieved honour and recognition through sport.
Definition of a Sport:
A Sport shall be an athletic activity deemed so by the Newmarket
Sports Hall of Fame Committee (Committee). The Committee will
primarily refer to sports recognized by national and international
Governing Bodies, such as, but not limited to Sport Canada and the
International Olympic Committee and may revise the list of sports
from time to time.

Selection Criteria:
Eligibility
Athletes and Teams – An individual or team that has excelled in
sport(s) in competition with peer athletes or teams.
Builder – A builder is an individual whose interest in and work for
sport resulted in a climate which benefited sport in Newmarket.
Level of Achievement
An athlete’s level of achievement in competitive sport, more than any
other consideration should determine his/her candidacy for the Hall of
Fame. Those admitted to the Hall must have a proven record of
excellence in competitive sport, taking into consideration such factors
as the level of competition (local, provincial, national or global), the
classification (open, senior, intermediate, masters), the records set, the
number and significance of awards won, the skill and ability levels,
and the standards achieved.
A Builder will be viewed not on the level of achievement, but most
importantly on the significance and importance of their contribution to
sport. The variety and the level of positions held, the importance of
work done, awards and honours earned, advancements made and their
role in provided opportunities are all important factors to consider.
Residency
Eligibility is restricted to Newmarket Athletes and builders of sport.
The athlete involved must have been a resident of Newmarket at the
time of performance, or have performed outside of Newmarket while
still being considered a resident or product of Newmarket. In
addition, the athlete or builder may be considered if from an outlying
area, if it can be documented that he/she was viewed by the province

or nation as being from Newmarket, and thereby having conferred
honour upon Newmarket.
Active Status
Athletes nominated must have concluded their careers in the sport, or
at the level, for which nominated, at least five years prior to
nomination, or have reached the age of fifty years.
Builders may include officials, sponsors, executives, trainers, owners,
coaches, etc, whose work over an extended period has been
outstanding in providing a consistently high level of contribution to
the sports community. Any person nominated in the builder category
shall be eligible at any time, as that person might be active in his/her
role over an entire lifetime.
Nomination Process:
Nominations may be submitted by athletes, media and any member of
the community with an interest in Sports in Newmarket. Nominators
are encouraged to supply as much supporting detail as possible while
completing the nomination. The Committee will be responsible to
obtain any additional research and validate the factual basis of each
submission.
All nominee files which are not selected for induction will be
reconsidered each year for a period of 3 years. A nominator may
submit a newly prepared nomination for the nominee at the expiration
of a two year waiting period. Any nomination may be destroyed after
consideration before the 3 year period at the request of the nominator.
In all cases of nominations rejected by the Committee, letters will be
sent to the nominator by the Committee, to the nominator explaining
the procedure and asking if there is any additional information that
may be relevant to the nomination. As well, all files are kept by the

Hall for any historical information they may contain. No files will be
destroyed.
Each year, the selection committee will select from the nominations
received and on file at the Hall.
No sitting member of the Committee shall be considered for election
into the Newmarket Sports Hall of Fame.
The Newmarket Sports Hall of Fame Committee reserves the right to
review and make changes to the selection criteria as deemed
necessary. All decisions of the Committee will be final.
Induction Ceremony:
Each newly elected member of the Newmarket Sports Hall of Fame
shall be formally inducted at an official ceremony to take place in the
Council Chambers at the Newmarket Municipal Office.
Commemorations in the Newmarket Sports Hall of Fame shall be in a
fashion deemed appropriate by the Committee. Photographs and
documentation may be placed in the Hall of Fame display facilities at
the discretion of the Committee.