The Doc Boisoneau Northern Connecticut National Football Foundation Chapter & College Hall of Fame
SCHOLAR-ATHLETE AWARD NOMINATION APPLICATION
Deadline is January 31, 2024
Scholar-Athlete Information
Name of Scholar Athlete to be displayed on plaque:
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First Name
Last Name
Pronunciation of name:
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Number
*
Please enter a valid phone number.
Email:
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example@example.com
Height:
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Weight:
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Age:
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Birthdate:
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Month
-
Day
Year
Date
School:
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Coach's Information
Coach's Name:
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First Name
Last Name
Coach's Email:
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example@example.com
Parent/Guardian Information
Parent/Guardian Name:
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First Name
Last Name
Parent/Guardian Email:
*
example@example.com
Parent/Guardian Cell Number:
*
Please enter a valid phone number.
Parent Guardian Name:
First Name
Last Name
Parent/Guardian Email:
example@example.com
Parent/Guardian Cell Number:
Please enter a valid phone number.
Leadership
COLLEGE /UNIVERSITY: List any activities in which the nominee held office or any other leadership position. Name his title and the year(s) he held the office or position (i.e. class officer, club president, etc.)
List any other school related activities in which the nominee displayed leadership.
Community
List community activities, outside of school, in which the nominee is involved. Describe his involvement (awards, leadership roles). Example: Boy Scouts, Church, Habitat for Humanity, ETC.
The Scholar-Athlete Award is granted on the basis of Academic Achievement, Football Performance, Leadership, and Community Involvement.
Transcript:
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School Admissions/Academic Dean. Download on the nomination page.
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Recommendation from Principal or School Counselor:
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Teacher Recommendations (may use letters written for college applications):
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Coat and Tie Headshot:
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Required Signature Page. Download on the nomination page.
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Submit
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