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Sports Hall of Fame
Team Nomination Form
Team Nomination
Comments
This field is for validation purposes and should be left unchanged.
Part A - Team Information
Team Name
(Required)
Sport
(Required)
Year(s) of team to be honoured
(Required)
A minimum of 5 years must have passed since the event for which the team is nominated
Was the competition restricted by age?
(Required)
Yes
No
Was there a minimum age?
(Required)
Yes
No
Please specify the minimum age
(Required)
Was there a maximum age?
(Required)
Yes
No
Please specify the maximum age
(Required)
What was the name of the age category in that sport?
(Required)
Vocation of Teams' Status (please check) Affiliation
(Required)
Amateur
Mixed
Masters
College
University
Professional
Club
Privately Owned
Secondary School
Other
Other - Please indicate affiliation
(Required)
Number of team members
(Required)
Number of team members that resided in Lac La Biche County during playing year(s):
(Required)
Number of team players born in Lac La Biche County:
(Required)
Primary Team Representative Contact:
Name
(Required)
Affiliation with Team
(Required)
Mailing Address
Street Address
City
ZIP / Postal Code
Telephone (Primary):
(Required)
Telephone (Secondary):
Email Address
Secondary Team Representative Contact (If Applicable):
Name
(Required)
Affiliation with Team
(Required)
Mailing Address
Street Address
City
ZIP / Postal Code
Telephone (Primary):
(Required)
Telephone (Secondary):
Email Address
I consent to the team nomination being submitted for the Lac La Biche County Sports Hall of Fame. I have reviewed the content of this nomination and declare that the information included is true and correct and have authority to accept the nomination on behalf of the team being nominated.
I consent
Nominator Information
Nominator Name
(Required)
Relationship to Nominee:
(Required)
Telephone (Primary):
(Required)
Telephone (Secondary):
Email Address
(Required)
PART B:
Roster: please include names, birth dates, playing positions for all players, coaches, managers, and any additional team personnel and deceased dates (if applicable).
First Name
Last Name
Birth date (dd/mm/year)
Position / Role
Deceased Date (If Applicable)
Add
Remove
Team Information:
In what year was the team formed?
(Required)
Were players not on the team during the qualification competition added to the team for the national/international championship?
(Required)
Yes
No
If yes, please explain:
(Required)
Describe the competition format and achievements/titles the team accumulated during their tenure.
International Level: (Olympics, Worlds, International meets)
Date
Level / Competition
Location
# of Teams
Status / Result
Add
Remove
National Level:
Date
Level / Competition
Location
# of Teams
Status / Result
Add
Remove
Western Canada:
Date
Level / Competition
Location
# of Teams
Status / Result
Add
Remove
Provincial Level:
Date
Level / Competition
Location
# of Teams
Status / Result
Add
Remove
Regional / Other:
Date
Level / Competition
Location
# of Teams
Status / Result
Add
Remove
Affiliation Requirements
Include provincial sport governing body team was affiliated with (if applicable). PSO Name/Contact:
Include national sport governing body team was affiliated with (if applicable). NSO Name/Contact:
Highest Level of Competition available at the time the team was competing:
International / World
National / Western Canada
Provincial
Part C: Community Connections
Detail how the team being nominated brought credit and high respect for the team or sport while based out of Lac La Biche County. Highlight the nominated team’s involvement within Lac La Biche County (volunteer work, mentoring, sport development, etc.)
(Required)
Optional: Include pertinent newspaper clippings and/or letters of support with the nomination.
Drop files here or
Select files
Max. file size: 50 MB, Max. files: 10.
Part D:
Has this team been inducted into another recognized Local, Provincial, National, or International Sports Hall of Fame?
Yes
No
If yes, which one?
(Required)
When?
(Required)
Were any members of this team recognized for their performances in play-off, championship, or higher competitions during the tenure of the team’s nomination year(s)?
Yes
No
Examples: MVP most valuable player, All-star selection, other Hall of Fame or prestigious awards
If yes, please identify the player or team staff names and awards they received. Include photographs or clippings if available.
(Required)
Team
Player Name
Competition
Date
Awards / Recognition Received
Add
Remove
Did any team members go on to compete at a higher level of sport as an individual and/or team (e.g.) Professional sport, Olympics, etc.?
(Required)
Yes
No
If yes, please include details.
(Required)
Player Name
Sport
Level of Competition
Status / Records
Years Competed
Add
Remove
Part E: Storyboard Bio of Team
In the space provided, in 500 words or less summarize the team’s achievements for their storyboard which is displayed on the Lac La Biche County Sports Hall of Fame. Highlight key accomplishments, awards, and chain of events with dates which led to their overall success and achievements. *Lac La Biche County may edit text for grammar, length, and consistency to create team story and will send final for review for approval prior to production.
(Required)
Part F: Team Photo
Team Photo
(Required)
Max. file size: 50 MB.
High resolution digital photo (1200 x 900 dpi) JPG or TIFF files preferred
If selected for the Lac La Biche County Sports Hall of Fame, Lac La Biche County will require a photo including all of the names of team members and staff in order portrayed in the photograph. Example: Back row (l-r), Front row (l-r), and so on. Include any individual’s names who are missing from the photograph below.
