Hall of Fame Committee

David J. Schryver, Chairman
Jeffrey A. Davis, Secretary
Donald D. Thompson, Treasurer
Lori Brewer
Jon Hogle
Fred LaPoint
Rob White
Larry Young
Keith Ziemba


Athlete Application Form

You have been nominated for the Edwards-Knox Central School Athletic Hall of Fame as a student athlete.  Please fill out this application form as completely as possible.  It will be the basis for your selection and, if selected, the basis for the content of your plaque.

Name:            Telephone: 

Current Address:              E-mail address: 

Community:         State:       Zip Code: 

School:        Year of graduation: 

Local newspaper name and address:

                            

 

Please complete the following section(s) for all sport(s) you played on the varsity level only.  Provide as much detail as possible.  If you played sports other than those indicated, please provide the requested information for those sports in the "other information" section at the end of this form.


Soccer:

Grade level (x all that apply):  10  11  12     Varsity level only

If you were a team captain, please indicate grade(s) when you were: 

If you were an All-Northern selection, please indicate grades when you were, and team to which you were chosen (ie: 2nd team in junior year, 1st team in senior year): 

If you were a Section X MVP, please indicate grade level: 

If you received any other honors, please provide details (ie: Watertown Daily Times Team, All-State Team, Academic All-Northern) with years: 

If your team achieved special honors, please note (ie: Section X championship, Tournament Champions, State Final 4, Undefeated, etc.): 

Any other details about this sport that might be important for committee consideration should be noted:


Swimming:

Grade level (x all that apply):  10  11  12     Varsity level only

If you were a team captain, please indicate grade(s) when you were: 

If you were an All-Northern selection, please indicate grades when you were, and team to which you were chosen (ie: 2nd team in junior year, 1st team in senior year): 

If you were a Section X MVP, please indicate grade level: 

If you received any other honors, please provide details (ie: Watertown Daily Times Team, All-State Team, Academic All-Northern) with years: 

If your team achieved special honors, please note (ie: Section X championship, Tournament Champions, State Final 4, Undefeated, etc.): 

Any other details about this sport that might be important for committee consideration should be noted:


Basketball:

Grade level (x all that apply):  10  11  12     Varsity level only

If you were a team captain, please indicate grade(s) when you were: 

If you were an All-Northern selection, please indicate grades when you were, and team to which you were chosen (ie: 2nd team in junior year, 1st team in senior year): 

If you were a Section X MVP, please indicate grade level: 

If you received any other honors, please provide details (ie: Watertown Daily Times Team, All-State Team, Academic All-Northern) with years: 

If your team achieved special honors, please note (ie: Section X championship, Tournament Champions, State Final 4, Undefeated, etc.): 

Any other details about this sport that might be important for committee consideration should be noted:


Volleyball:

Grade level (x all that apply):  10  11  12     Varsity level only

If you were a team captain, please indicate grade(s) when you were: 

If you were an All-Northern selection, please indicate grades when you were, and team to which you were chosen (ie: 2nd team in junior year, 1st team in senior year): 

If you were a Section X MVP, please indicate grade level: 

If you received any other honors, please provide details (ie: Watertown Daily Times Team, All-State Team, Academic All-Northern) with years: 

If your team achieved special honors, please note (ie: Section X championship, Tournament Champions, State Final 4, Undefeated, etc.): 

Any other details about this sport that might be important for committee consideration should be noted:


Baseball:

Grade level (x all that apply):  10  11  12     Varsity level only

If you were a team captain, please indicate grade(s) when you were: 

If you were an All-Northern selection, please indicate grades when you were, and team to which you were chosen (ie: 2nd team in junior year, 1st team in senior year): 

If you were a Section X MVP, please indicate grade level: 

If you received any other honors, please provide details (ie: Watertown Daily Times Team, All-State Team, Academic All-Northern) with years: 

If your team achieved special honors, please note (ie: Section X championship, Tournament Champions, State Final 4, Undefeated, etc.): 

Any other details about this sport that might be important for committee consideration should be noted:


Softball:

Grade level (x all that apply):  10  11  12     Varsity level only

If you were a team captain, please indicate grade(s) when you were: 

If you were an All-Northern selection, please indicate grades when you were, and team to which you were chosen (ie: 2nd team in junior year, 1st team in senior year): 

If you were a Section X MVP, please indicate grade level: 

If you received any other honors, please provide details (ie: Watertown Daily Times Team, All-State Team, Academic All-Northern) with years: 

If your team achieved special honors, please note (ie: Section X championship, Tournament Champions, State Final 4, Undefeated, etc.): 

Any other details about this sport that might be important for committee consideration should be noted:


Golf:

Grade level (x all that apply):  10  11  12     Varsity level only

If you were a team captain, please indicate grade(s) when you were: 

If you were an All-Northern selection, please indicate grades when you were, and team to which you were chosen (ie: 2nd team in junior year, 1st team in senior year): 

If you were a Section X MVP, please indicate grade level: 

If you received any other honors, please provide details (ie: Watertown Daily Times Team, All-State Team, Academic All-Northern) with years: 

If your team achieved special honors, please note (ie: Section X championship, Tournament Champions, State Final 4, Undefeated, etc.): 

Any other details about this sport that might be important for committee consideration should be noted:


Family information:

Any other general information that you might feel would be of interest to the committee should also be noted:

If you are inducted, who would you like to present your award to you at the ceremony? Please give first and second choice.

First Choice:

Second Choice:


 

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