ITCCOA Hall of Fame Nomination Application


Name                                                                                                                                                        
                                                                            
Address                                                                                                                                                
                                                                    
City                                                                               State                                    Zip                        
       
Home phone                                                                 E-mail                                                                
                    
Did He/She Work Sectionals                Yes                No                  Boys            Girls                

Did He/She Work State                        Yes                No                    Boys             Girls                 

Was Nominee an ITCCOA Member                Yes                       No                
   
Number of Years Officiated                                                          
 
What Areas Were
Officiated                                                                                                                                                   

                                                                                                       

                                                                                                                        
Highest Rank or Position of  
Officiating                                                                                                                                                                          

                                                                                                                                                                                               
                                                                                                                                                                                      
Nominee Recommended By                                                                                                         
                                             
Address                                                                                                                                                
                                                                       
City                                                                           State                                 Zip                                 
     
Home Phone                                                          E-Mail                                                                         
                     
Official Level     X                R               C                          IHSA Number                                                 
     
ITCCOA Member   Yes               No                     Number of Years Officiated                                 

Include a short resume of the nominee’s accomplishments and achievements along with this page to:

Charles West                        or                Geza Ehrentreu
PO Box 166                                               3133 Ramsgate Road
Downs, IL  61736-0166                           Rockford, IL  61114

Print this form and mail to one of the above officials.
Hall of Fame Nomination
Form