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:
Glenn Cothern or Geza Ehrentreu
1037 E. 500 N. Road 3133 Ramsgate Road
Gibson City, IL 60936 Rockford, IL 61114
Print this form and mail to one of the above officials.
Hall of Fame Nomination Form
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Nomination For Hall of Fame
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