Other Application Form

You have been nominated for the Edwards-Knox Central School Athletic Hall of Fame in the "Other" category. 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: Years of service:

Local newspaper name and address:

Please provide a narrative description of your service. It is important that you are thorough and concise so that the committee may adequately judge your application. Provide as much detail as possible.

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: