MAINE PRINCIPALS' ASSOCIATION HALL OF EXCELLENCE NOMINATION FORM

MPA HALL OF EXCELLENCE - NOMINATION FORM

Please submit this form and supporting materials by January 7, 2025
Name of Nominee:

First NameLast Name
Is this a Posthumous Nomination?

YesNo
Mailing Address of Nominee or Representative:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
E-mail (if available)
example@example.com
What is the Category of Nomination? Check one:

AdministratorAthlete/Activity ParticipantCoach/AdvisorOfficial/AdjudicatorContributor
Categories of Nomination listed above are for the purpose of assisting the selection committee. Once inducted, Hall of Excellence members are not categorized.
NOTE: Some additional pages must also be completed and submitted with this nomination:
- Information about The Nominator
- Information About the Nominee - appropriate to the category marked above, and required attachments and supporting materials.

INFORMATION ABOUT THE NOMINATOR
Name:

First NameLast Name
Mailing Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone:

Area CodePhone Number
Cell Phone:

Area CodePhone Number
E-Mail (if available):
example@example.com
Briefly describe your relationship to the nominee:
NOMINATOR'S SIGNATURE AND ATTACHMENTS (REQUIRED)

"I certifify that I have truthfully provided informaiton about the Nominee and have received his or her permission, if alive; or a spouse's or relative's permission, if deceased."

Printed Name:

Date:
Check the REQUIRED ATTACHMENTS to ensure that they are included:

Completed Nomination FormA current portrait-style photo of the Nominee for press release / display purposesA minimum of three (3) Letters of RecommendationSupport materials such as media clippings, articles, certificates (if available), etc. which would be helpful to the committee in making their final decision. (DO NOT SUBMIT MORE THAN 10 PAGES OF SUPPORT MATERIALS).
Browse Files

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ADMINISTRATOR NOMINATION PAGE

(Nominees in this category include principals, assistant principals, athletic administrators, and superintendents)
Name of Nominee:

First NameLast Name
Position held by Nominee:
How many years did the Nominee serve in this position?
1. Please describe the role of the person being nominated.
2. Please describe professional affiliations and related achievements (i.e. involvement in local, state, and national associations and other related professional organizations).
3. Please summarize the career accomplishments and contributions of the person being nominated.
4. Please list any special awards or recognition earned by the Nominee as they apply to this category. Include any other factors that should be considered by the Hall of Excellence Selection Committee. (Please limit summary to one additional page)

ATHLETE/ACTIVITY PARTICIPANT NOMINATION PAGE
Name of Nominee:

First NameLast Name
Year of Graduation from Maine High School:
Name of High School Attended:
Name of College Attended:
Present Employer:
1. In what activities did the Nominee participate and for how many years?
2. Summarize the Nominee's career accomplishments and contributions while in high school. Please include any honors or awards earned.
3. After high school graduation, how has the nominee demonstrated positive community service and good character which reflects credit to the nominee, his or her school, and society?
4. Please summarize any additional accomplishments and describe any other factors that should be considered by the Hall of Excellence Selection Committee. (Please limit summary to one additional page)

COACH/ADVISOR NOMINATION PAGE
Name of Nominee:

First NameLast Name
School where Nominee primarily coached/advised:
Other Maine High School(s) in which the Nominee coached or served as an advisor. List below Name and Date(s):
How many years did the person coach/advise?
1. Please summarize the career accomplishments and contributions made at the high school level of the person being nominated.
2. Please describe professional affiliations and related achievements (i.e. involvement in local, state, and national associations and other related professional organizations).
3. Please summarize any other accomplishments and list any special awards or recognition earned by the Nominee as a coach/advisor that should be considered by the Hall of Excellence Selection Committee (Please limit summary to one additional page).

CONTEST OFFICIAL/ADJUDICATOR NOMINATION PAGE
Name of Nominee:

First NameLast Name
Schools or districts where Nominee primarily served as a Contest Official/Adjudicator:
How many years did the Nominee serve as a contest official/adjudicator in Maine?
1. Please summarize the sports/activities the Nominee officiated/adjudicated in Maine? Please list all.
2. Please describe professional affiliations and related achievements (i.e. involvement in local, state, and national associations and other related professional organizations).
3. Please summarize any other accomplishments and list any special awards or recognition earned by the Nominee that should be considered by the Hall of Excellence Selection Committee. (Please limit summary to one additional page)

CONTRIBUTOR NOMINATION PAGE
Name of Nominee:

First NameLast Name
Position held by Nominee:
How many years did the Nominee serve in this position?
1. Please describe the role of the person being nominated.
2. Please summarize the career accomplishments and contributions made at the high school level of the person being nominated.
3. Please describe professional affiliations and related achievements (i.e. involvement in local, state, and national associations and other related professional organizations)
4. Please summarize the Nominee's accomplishments and list any special awards or recognition earned by the Nominee as they apply to this category. Include any other factors that should be considered by the Hall of Excellence Selection Committee. (Please limit summary to one additional page)
Should be Empty:

MPA HALL OF EXCELLENCE - NOMINATION FORM