PSADA Hall of Fame Nomination Form
Please fill out this form to the best of your knowledge.
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Who is the inductee being nominated? (If nominee is deceased please name the nearest relative as well) *
What School or District did the nominee work? *
Contact information of nominee. 
(Address, Phone # and/or Email)
 *
Please list any honors earned as an Athletic Administrator. *
Using whatever supportive data you may wish, please describe the activities and accomplishments at the
local, state and national level of this candidate which make him/her a viable candidate for the
Pennsylvania State Athletic Directors Association Hall of Fame. Please remember that only thorough
and complete documentation will be considered. Two letters of recommendation will be necessary and
newspaper articles, etc. in support may also be submitted.

The committee will seek to honor those who have directly influenced the history and evolution of the
Pennsylvania State Athletic Directors Association. Attachments are considered appropriate.
 *
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