PSADA Hall of Fame Nomination Form
Greg Pinelli
344 McKinley Street
Bristol, PA 19007
Email: gpinelli55@gmail.com
Email address
PSADA HALL OF FAME NOMINATION FORM
Full Name (Including Prefix, Middle and Suffix)
Your answer
Current Address
Your answer
Home Phone
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Cell Phone
Your answer
Email Address
Your answer
School Affiliation (If applicable), Including School Name, City and State
Your answer
If the nominee is active in the area of interscholastic athletic administration, please explain:
Your answer
Nominee is:
If deceased, closest living relative or contact person (Including address)
Your answer
Nominees Education:
Name of High School Attended (Including Address, Grad Year and Degree Earned)
Your answer
Name of College/University Attended (Including Address, Grad Year and Degree Earned)
Your answer
Name of Post Graduate School (Including Address, Grad Year and Degree Earned)
Your answer
Years in Athletic Administration
Your answer
Last Year in Athletic Administration
Your answer
Years as NIAAA Member
Your answer
Years as State Association Member
Your answer
NIAAA Certification
Athletic Administrator Category:
Describe career accomplishments and contributions as an interscholastic athletic administrator at the local/district level (i.e. Board of Directors, Committee Members, League President, etc.)
Your answer
Describe career accomplishments and contributions as an interscholastic athletic administrator at the state/national level (i.e. Board of Directors, Committee Members, Conference Presenter, etc.) including recognitions and awards
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A copy of your responses will be emailed to the address you provided.
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