Nomination FormIFHOFNomination FormPlease read the nomination guidelines before filling out the form to nominate an individual for the Indiana Football Hall of Fame.Nomination Form Nominee First Name * Nominee Last Name * Living State * Living Deceased Date of Death As desired on the plaque.Category (check only one) * Head Coach Assistant Coach Player Contributor Years Coaching * Years in Indiana * Career Wins * Win/Loss Percentage * IHSAA Titles (Sectional, Regional, Semi-State, State) * Conference Championships * National or State Organization Award Recognition (AFCA, NFF, NFHS, IFCA, IHSAA) * Yes No If Yes, What Awards? * IFCA SERVICE (Check All That Apply) * Past President Region Director (At Least Twice) IFCA All-Star Coach Region Advisor Rating Board IFCA Executive Board Years Coaching * Years in the State of Indiana * Career Varsity Wins (Program Wins as an Assistant) * Programs Win/Loss Percentage * IHSAA Titles (Sectional, Regional, Semi-State, State) * Conference Championships (As an Assistant) * National or State Organization Award Recognition (AFCA, NFF, NFHS, IFCA, IHSAA) * Yes No If Yes, What Awards? * IFCA Service (Check All That Apply) * Past President Region Director, Assistant Coach Rep, Minority Coach IFCA All-Star Coach Regional Advisor IFCA Executive AwardPlayer (Check All That Apply) * Dominant Indiana High School Football Player IHSAA State Finals Appearance IFCA Top 50 All-State (A.P., U.P.I., Bloomington-Herald Top 33, IFCA All-State) IFCA ALL-Star Game Participant Mike Raybold And/Or Tyler Roth Award Recipient Phile Eskew Or Blake Ress Mental Attitude Award Recipient Mr. Football Position Award Recipient Division 1 College Football Starter College Football Stand-Out (All-Conference, All-American, Record Holder, Team Captain) One Full Season On An NFL/CFL Roster Two Full Seasons On An NFL/CFL Roster Three Full Seasons On An NFL/CFL Roster Years as a Contributor * Years as a Contributor in the State of Indiana * Has the Contributor Benfeitted Or Been Recognized Throughout the State of Indiana? * Yes NoAddress Address Street Address Street Address Street Address Cont. Street Address Cont. City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Cell Phone Email Date of Birth Place of Birth Present Occupation Location High School Attended Year of Graduation College Attended Year of Graduation Full Name of Wife Names of Children Please include the resume, any information regarding recognitions, honors, or prominent and lasting contributions in the advancement of football in Indiana. Please include any additional information that you would like to have considered by the Hall of Fame Committee and the Past Presidents’ Committee of the IFCA. File Upload Drop a file here or click to upload Choose FileMaximum file size: 268.44MB Submitted By First Name * Submitted By Last Name * Email * Phone * Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Please write a brief description of why you believe this candidate deserves to be in the hall of fame. Submit If you are human, leave this field blank.